Individual
COURTLAND ALEXANDER VANSANT PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC/MHSP TEMP
Contact information
Practice address
2298 S GERMANTOWN RD, GERMANTOWN, TN 38138-5962
(901) 481-9877
Mailing address
2298 S GERMANTOWN RD, GERMANTOWN, TN 38138-5962
(901) 481-9877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
706951
—
101YP2500X
Professional Counselor
Primary
4268
TN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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