Individual
CHRISTIE PAULA PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP, CCTP
Contact information
Practice address
8905 REGENTS PARK DR STE 230, TAMPA, FL 33647-3081
(813) 586-0870
(813) 501-8625
Mailing address
8905 REGENTS PARK DR STE 230, TAMPA, FL 33647-3081
(813) 586-0870
(813) 501-8625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH11676
FL
101YM0800X
Mental Health Counselor
Primary
MH11676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4873
CAP
FL
01
—
MH11676
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
02/08/2011
Last updated
06/13/2019
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