Individual
CHARLES PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
950 MEADOW DR, MOUNT GILEAD, OH 43338-1389
(419) 949-2000
Mailing address
4300 BEARD RD, SUNBURY, OH 43074-8998
(740) 816-2287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1700541-TRNE
OH
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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