Individual
SHANNA MARIE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
327 OKANOGAN AVE, WENATCHEE, WA 98801
(509) 662-9673
(509) 662-9441
Mailing address
P.O. BOX 950, WENATCHEE, WA 98807
(509) 662-9673
(509) 662-9441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C060783407
WA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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