| Doctor Name: | MARTHA MELLETTE PICKETT |
| NPI Number: | 1225208978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCS |
| License Number: | 406 |
| Business Practice Address: | 355 C1 Madison Blvd. Roxboro, NC - 275735485 |
| Business Phone Number: | 3365998366 |
| Business Fax Number: | 3363226168 |
| Mailing Address: | 104 New Stateside Dr, CHAPEL HILL |
| State: | NC |
| Postal Code: | 275161165 |
| Phone Number: | 9199422803 |
| Fax Number: | 9199422126 |
| NPI Enumeration Date: | 03/10/2008 |
| NPI Last Update Date: | 11/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |