Individual
MARY BENNETT PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 PARIS AVE STE B, PORT ROYAL, SC 29935-2146
(843) 593-0909
Mailing address
933 PARIS AVE STE B, PORT ROYAL, SC 29935-2146
(843) 593-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
02/06/2024
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