Individual
CAROLE RUTH PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16414 92ND ST KPN, LAKEBAY, WA 98349-0918
(253) 222-4670
Mailing address
PO BOX 918, VAUGHN, WA 98394-0918
(253) 222-4670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00022838
WA
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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