Individual
MADISON PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
(770) 425-8275
Mailing address
414 RIGBY ST NE, MARIETTA, GA 30060-1773
(704) 425-1255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW010873
GA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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