Individual provider · Type 1 NPI

Cory Puckett, LPC INTERN

Counselor · Dallas, TX

NPI number 1225319148 Active

Practice location

17103 Preston Rd, Ste 250
Dallas, TX 75248-1332

Fax (972) 250-1701

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X67500 (TX)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1225319148

Cory Puckett, LPC INTERN's National Provider Identifier is 1225319148, issued on Sep 6, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 6, 2011.