Provider Demographics
NPI:1255780730
Name:PICTON, CIARA
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:
Last Name:PICTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ROUNDUP RD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-7614
Mailing Address - Country:US
Mailing Address - Phone:775-600-3525
Mailing Address - Fax:
Practice Address - Street 1:602 ROUNDUP RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-7614
Practice Address - Country:US
Practice Address - Phone:775-600-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health