Individual
CASSANDRA PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1293 W HIGHWAY 40, VERNAL, UT 84078-2923
(801) 450-5419
Mailing address
50 E 750 N, 17, VERNAL, UT 84078-3767
(801) 450-5419
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8094968-3902
UT
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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