Individual
THOMAS RICHARD PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
6631 N GREENVIEW AVE, CHICAGO, IL 60626-4217
(773) 761-7952
Mailing address
6631 N GREENVIEW AVE, CHICAGO, IL 60626-4217
(773) 761-7952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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