Provider Demographics
NPI:1538960364
Name:DURRANT, PEGGY (LPC)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:DURRANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:OLDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08858-0242
Mailing Address - Country:US
Mailing Address - Phone:908-439-3456
Mailing Address - Fax:908-439-2343
Practice Address - Street 1:48 OLD TPKE
Practice Address - Street 2:
Practice Address - City:OLDWICK
Practice Address - State:NJ
Practice Address - Zip Code:08858-7001
Practice Address - Country:US
Practice Address - Phone:908-439-3456
Practice Address - Fax:908-439-2343
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PCO1118700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional