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General NPI Number Information
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NPI Number | 1093075558
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Entity Type | Individual
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Provider Name | ANA PATRICE PICKENS LPC-1, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 09/28/2025
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Provider Practice Location Address
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Address Line | 2201 S W S YOUNG DR STE 114A
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City | KILLEEN
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State | TX
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Zip | 76543-5317
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Country | US
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Telephone | 254-462-7638
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Fax | 254-853-4089
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Provider Business Mailing Address
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Address Line | 3404 CARPET LN
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City | KILLEEN
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State | TX
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Zip | 76549-3625
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Country | US
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Telephone | 254-466-4662
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 65999
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License Number State | TX
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