Individual
SCOTT DANIEL PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1239 CENTRAL AVE, MIDDLETOWN, OH 45044-4103
(513) 558-9006
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-9006
(513) 558-3880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.2103900
LPC
OH
Enumeration date
01/13/2021
Last updated
01/17/2023
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