Sharon Ann Peacock, MED
Individual provider Active NPI Mental Health Counselor · Old Town, ME
NPI 1609978709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609978709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC981 (ME)
- Practice address
- 1169 Main St
Old Town, ME 04468-2022 - Phone
- (207) 827-7878
- Fax
- (207) 827-6900
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC981 | ME | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC981 | ME | Yes |
Addresses
Primary practice location
1169 Main St
Old Town, ME 04468-2022
Mailing address
1169 Main St
Old Town, ME 04468-2022
Phone (207) 827-7878
Other names
- Ms. Sharie Ann Peacock
Other providers in Old Town, ME
- Old Town Residential Services Corp.
- Old Town School Dept.
- Jenny Marie Omlor
- Evan Mark Paradis
- Kaliope C. Parousis
- Penobscot Community Health Center
- Penobscot Community Health Center
- Penobscot Community Health Center
- Penobscot Community Health Center
- Penobscot Community Health Center
All providers in Old Town, ME · Mental Health Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.