Individual
JESSICA DELORES PICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 200-2624
Mailing address
1755 COLETTE DR APT 1, NORTH MANKATO, MN 56003-1903
(507) 420-8491
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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