Doctor Name: | ZOYA PICKLESIMER |
NPI Number: | 1740553171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS |
License Number: | |
Business Practice Address: | 416 W. Ridge St. Rose Hill, NC - 284580880 |
Business Phone Number: | 9102962610 |
Business Fax Number: | 9102964410 |
Mailing Address: | Po Box 880, 416 W. Ridge St. ROSE HILL |
State: | NC |
Postal Code: | 284580880 |
Phone Number: | 9102962610 |
Fax Number: | 9102964410 |
NPI Enumeration Date: | 02/15/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
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: |