Individual provider · Type 1 NPI

Justin Puch, MA, LPC

Professional Counselor · Lees Summit, MO

NPI number 1306255567 Active

Practice location

200 NE Missouri Rd Ste 200
Lees Summit, MO 64086-4722

Call (816) 200-0390 Map

Mailing address

1901 SE 6th Ter
Lees Summit, MO 64063-1009

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6513 (MO)
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X2014027182 (MO)

Professional Counselor: Definition to come...

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About NPI 1306255567

Justin Puch, MA, LPC's National Provider Identifier is 1306255567, issued on Aug 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lees Summit, MO. The record was last updated on Jan 6, 2021.