Individual provider · Type 1 NPI

Ryan Puckett

Mental Health Counselor · Chicago, IL

NPI number 1174453732 Active

Practice location

929 W Belmont Ave
Chicago, IL 60657-4408

Call (312) 530-0323 Map

Mailing address

711 W Brompton Ave Apt 46
Chicago, IL 60657-1884

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174453732

Ryan Puckett's National Provider Identifier is 1174453732, issued on May 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 22, 2026.