Individual
CODY MICHAEL PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 542-1026
Mailing address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 542-1026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10001
ID
Other
Enumeration date
11/09/2023
Last updated
11/06/2025
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