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NPI Code Detail

MEDICARE: DEANNA PICKETT LPC

MEDICARE: DEANNA PICKETT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor8536NC

General Provider Information

NPI Number : 1902104961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA PICKETT LPC
Provider Business Mailing Address
First Line : 433 W MAIN ST
Second Line :
City : DURHAM
State : NC
Zip : 27701-3217
Country : US
Telephone Number : 919-433-0170
Fax Number : 919-226-0026
Provider Business Practice Location Address
First Line : 433 W MAIN ST
Second Line :
City : DURHAM
State : NC
Zip : 27701-3217
Country : US
Telephone Number : 919-433-0170
Fax Number : 919-226-0026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2011
Last Update Date : 03/01/2011

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Directions to “ DEANNA PICKETT LPC” Practice Location

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