Larry Peacock, LPC, CSAC

NPI 1871600825 · on the registry since 2006 · sole proprietor

Practice

Address: 4213 Walney Rd
Chantilly, VA 20151
Phone: (703) 502-7039
Fax: (703) 502-7055
Organisation at this address: Fairfax Falls Church Community Service Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia