Stuart M Peace III, M.Ed., LPC, NCC, MAC
Counselor, Mental Health in Fort Gordon, GA. Individual provider (NPI-1).
NPI number1790744845
StatusActive
Last updated in NPPESSep 30, 2013
Details
- NPI
- 1790744845
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stuart M Peace III
- Credential
- M.Ed., LPC, NCC, MAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2006
- Last updated
- Sep 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 135 | NE | Yes |
| 101Y00000X | Counselor | 105 | NE |
Practice location
Eisenhower Army Medical Center, Bldg 30013th Floor, Outpatient Behavioral Health Services
Fort Gordon, GA 30905
Phone 706-469-7970
Mailing address
613 Brigham TrlAugusta, GA 30909-6061
Phone 706-469-7970
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