Individual
LYNETTE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
920 WHITE ST, ARDMORE, OK 73401-8074
(580) 220-8860
Mailing address
920 WHITE ST, ARDMORE, OK 73401-8074
(580) 220-8860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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