Individual
PATRICIA DENISE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CCIT
Contact information
Practice address
311 WHITE INGRAM PKWY STE 500, DALLAS, GA 30132-0972
(770) 615-0697
Mailing address
4009 MORNING STAR AVE, POWDER SPRINGS, GA 30127-2588
(205) 305-8912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20231311-T
GA
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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