Individual
LACEY COLLEEN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPC
Contact information
Practice address
540 W MAIN ST, WYTHEVILLE, VA 24382-2209
(276) 223-3291
(276) 223-3249
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009787
VA
101YP2500X
Professional Counselor
6321
SC
Other
Enumeration date
03/25/2016
Last updated
09/02/2020
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