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1306407630
BRIAN CHRISTOPHER PICKETT
COVINGTON, LA
NPI
1306407630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
BRIAN CHRISTOPHER PICKETT
72658 HOLLY RD
COVINGTON, LA 70433-7324
Phone number: 903-293-1635
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Mailing Address
BRIAN CHRISTOPHER PICKETT
72658 HOLLY RD
COVINGTON, LA 70433-7324
Phone number: 903-293-1635
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