TRACI PICKETT

SAN JOSE, CA
NPI1508983032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A8525506)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- TRACI PICKETT
9500 MALECH ROAD
SAN JOSE, CA 95138
Phone number: 408-281-6543
Mailing Address
-- TRACI PICKETT
2363 RIDGEGLEN WAY
SAN JOSE, CA 95133-2325
Phone number:
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