Individual
JOHN PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
625 JEALOUSE WAY, SUITE 113, CEDAR HILL, TX 75104-2577
(972) 291-2929
(972) 291-2949
Mailing address
625 JEALOUSE WAY, SUITE 113, CEDAR HILL, TX 75104-2577
(972) 291-2929
(972) 291-2949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9189
TX
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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