Jerry Willie Pickens JERRY PICKENS

NPI 1346383106 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1346383106
Gender Male
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2520 PEACHTREE RD NW APT 116
116
ATLANTA GA, 30305-3617, US
Phone (404) 846-8100
Fax
Business Location
2520 PEACHTREE RD NW APT 116
116
ATLANTA GA, 30305-3617, US
Phone (404) 846-8100
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Georgia
License Number 204
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According to our database, Mr. Jerry Willie Pickens JERRY PICKENS NPI is 1346383106, taxonomy code is 106H00000X and license number is 204, license state is located at Georgia. Jerry Willie Pickens JERRY PICKENS physically located at 2520 Peachtree Rd Nw Apt 116, Atlanta GA, 30305-3617. NPI Number Jerry Willie Pickens JERRY PICKENS has the Individual type.

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1346383106 NPI number is provided on an as is basis without warranty of any kind. 1346383106 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Willie Pickens JERRY PICKENS are for informational purposes only.