Individual provider · Type 1 NPI

Alysia Abigail Puckett

Mental Health Counselor · Dallas, TX

NPI number 1366913246 Active

Practice location

4849 Greenville Ave
Dallas, TX 75206-4130

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X81040 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1366913246

Alysia Abigail Puckett's National Provider Identifier is 1366913246, issued on Dec 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Dec 17, 2018.