Individual
MISS ALISHA DIANE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
Mailing address
2401 LAKEVIEW RD APT CC8, NORTH LITTLE ROCK, AR 72116-9369
(405) 414-8702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
02/24/2025
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