Individual
JULIE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
515 DENMARK ST, STATESBORO, GA 30458
(814) 657-0342
Mailing address
101 BLUE MOON XING STE 3, POOLER, GA 31322-9798
(814) 657-0342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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