Individual
MR. JERRY WILLIE PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JERRY PICKENS
Contact information
Practice address
2520 PEACHTREE RD NW APT 116, 116, ATLANTA, GA 30305-3617
(404) 846-8100
Mailing address
2520 PEACHTREE RD NW APT 116, 116, ATLANTA, GA 30305-3617
(404) 846-8100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204
GA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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