| Doctor Name: | MRS. JACQUELYN D PICKETT |
| NPI Number: | 1861726671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | CC3972 |
| Business Practice Address: | 175 Humboldt St Rochester, NY - 146101059 |
| Business Phone Number: | 5855461960 |
| Business Fax Number: | 5855461963 |
| Mailing Address: | 101 Hamilton Ave, AUBURN |
| State: | NY |
| Postal Code: | 130215028 |
| Phone Number: | 3152535383 |
| Fax Number: | 3152537278 |
| NPI Enumeration Date: | 09/25/2009 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC3972 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |