Individual provider · Type 1 NPI

Kimberly Puckett-Samsel

Mental Health Counselor · Blanchard, OK

NPI number 1184047839 Active

Practice location

327 Point Pleasant Ct
Blanchard, OK 73010-5534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184047839

Kimberly Puckett-Samsel's National Provider Identifier is 1184047839, issued on Jan 31, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blanchard, OK. The record was last updated on Jan 31, 2014.