Individual
JOHN CHRISTOPHER PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.DIV.
Contact information
Practice address
430 JAMES ST, CRYSTAL LAKE, IL 60014-7164
(815) 914-9090
Mailing address
430 JAMES ST, CRYSTAL LAKE, IL 60014-7164
(815) 914-9090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6631
IL
101YP2500X
Professional Counselor
Primary
180.004590
IL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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