Provider Demographics
NPI:1447648746
Name:PEGUERO, FRANCISCO JR (NCCA LPC)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:PEGUERO
Suffix:JR
Gender:M
Credentials:NCCA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 ADELPHI ST.
Mailing Address - Street 2:APT1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 ADELPHI ST
Practice Address - Street 2:APT1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4009
Practice Address - Country:US
Practice Address - Phone:718-902-1568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16168101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral