Regina Sue Peck, LPC
Counselor, Professional in Wister, OK. Individual provider (NPI-1).
NPI number1861697062
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1861697062
- Entity type
- Individual (NPI-1)
- Name
- Regina Sue Peck
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2007
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6716 | OK | Yes |
| 101Y00000X | Counselor | – | – |
Other names
- Regina Sue Smith (Former Name)
Practice location
23610 Wolf Valley RdWister, OK 74966-2945
Phone 918-647-1924
Mailing address
23610 Wolf Valley RdWister, OK 74966-2945
Phone 918-647-1924
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Professional Counselor providers in Wister, OK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.