Individual
MICHELLE LEWIS PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 N FANT ST, ANDERSON, SC 29621-4821
(864) 353-3384
Mailing address
130 VICTORIA CIR, ANDERSON, SC 29621-4075
(864) 979-3370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9212
SC
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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