Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah Peck

Individual provider Mental Health Counselor · NPI 1568842532

Jeremiah Peck is a Mental Health Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

11105 NE 14th St Ste 103
Vancouver, WA 98684-4309
Phone: (360) 836-0320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60967738 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MC60478443 (WA)

Record details

NPI number1568842532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2015
Last updated in NPPESAugust 5, 2019
Mailing address11105 Ne 14th St Ste 103, Vancouver, WA 98684-4309

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