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Individual
SUSAN SARGENT PICKENS
Active
Individual
SUSAN SARGENT PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-4511
MT
101YM0800X
Mental Health Counselor
Primary
LCPC-LIC-19620
MT
Other
Enumeration date
06/30/2015
Last updated
04/19/2017
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