Individual provider · Type 1 NPI
Sada Kathryn Puckett, LPCC, LADC
Mental Health Counselor · Plymouth, MN
NPI number
1104497973
Active
Practice location
2415 Annapolis Ln N Ste 130
Plymouth, MN 55441-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304393 (MN) |
| Mental Health Counselor Primary | 101YM0800X | 02663 (MN) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Plymouth
- Lauris J. Prinsen, L.A.D.C.Mental Health Counselor Plymouth, MN NPI 1033281175
- Jessica Sklar, MA, LPCCMental Health Counselor Plymouth, MN NPI 1043800402
- Danielle NorgrenMental Health Counselor Plymouth, MN NPI 1053996306
- Andrea Undlin, LMFTMental Health Counselor Plymouth, MN NPI 1073066197
- Melissa Ann Bollinger-Kinney, M.S.ED LPCMental Health Counselor Plymouth, MN NPI 1114074028
- Andrew Carson, MAMental Health Counselor Plymouth, MN NPI 1124624614
- Makenzie McMahon, LMFTMental Health Counselor Plymouth, MN NPI 1164103297
- Kelsey MillerMental Health Counselor Plymouth, MN NPI 1164957858
About NPI 1104497973
Sada Kathryn Puckett, LPCC, LADC's National Provider Identifier is 1104497973, issued on Jul 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MN. The record was last updated on Apr 8, 2022.