Individual provider · Type 1 NPI

Dennis M. Puebla

Mental Health Counselor · Charleston, SC

NPI number 1144736505 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X000593 (CT)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144736505

Dennis M. Puebla's National Provider Identifier is 1144736505, issued on Dec 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on May 15, 2019.