Individual provider · Type 1 NPI

Krista Puderbaugh, LPC

Professional Counselor · Jackson, MS

NPI number 1134501638 Active

Practice location

1465 Lakeland Drive
Jackson, MS 39216

Call (769) 777-1048 Map

Other practice locations

  • 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 · (601) 638-0031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X2196 (MS)

Professional Counselor: Definition to come...

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About NPI 1134501638

Krista Puderbaugh, LPC's National Provider Identifier is 1134501638, issued on Jun 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Jul 21, 2022.