MS. Alysha Jean Puckett, BA, QMHS
NPI #1003335100 in Mount Orab, Ohio
Provider Information
- NPI Number
- 1003335100
- Entity Type
- Individual
- Name
- MS. Alysha Jean Puckett, BA, QMHS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA, QMHS
- Enumeration Date
- Sep 11, 2017
- Last Updated
- Sep 11, 2017
Practice Location
- Address
- 710 N HIGH ST
- City
- Mount Orab
- State
- Ohio
- ZIP Code
- 45154-8349
- Phone
- (937) 444-1613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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