CODY MICHAEL PICKETT

IDAHO FALLS, ID
NPI1871367821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC-10001)
Enumeration Date2023-11-09
Last Update Date2023-11-09
Business Address
CODY MICHAEL PICKETT LPC
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
Mailing Address
CODY MICHAEL PICKETT LPC
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
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