Individual
MR. DALE PICKETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC
Contact information
Practice address
333 WINDERMERE DR, BROADWAY, VA 22815-9489
(540) 333-4728
Mailing address
1855 E LEE HWY, NEW MARKET, VA 22844-3221
(540) 333-4728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704011496
VA
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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