Individual
MIKE PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC-1
Contact information
Practice address
412 HARDING ST # 1, WORCESTER, MA 01610-1807
(774) 239-9961
Mailing address
482 SOUTHBRIDGE STREET, BOX NUMBER 356, AUBURN, MA 01501
(774) 239-9961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24729
MA
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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