MR. Richard Terrence Lee Puckett JR., N/A

NPI #1932967247 in Dillingham, Alaska

Provider Information

NPI Number
1932967247
Entity Type
Individual
Name
MR. Richard Terrence Lee Puckett JR., N/A
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
N/A
Enumeration Date
Mar 11, 2024
Last Updated
Mar 11, 2024

Practice Location

Address
533 CENTRAL AVENUE
Address 2
638
State
Alaska
ZIP Code
99576
Phone
(907) 843-1191

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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