Individual
JILLIAN MAE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1097 HOSPITAL DR, ST JOHNSBURY, VT 05819-9242
(802) 397-9484
Mailing address
44 AUBURN ST, LYNDONVILLE, VT 05851-8796
(603) 575-1224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011285
—
VT
Enumeration date
06/02/2025
Last updated
06/02/2025
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