Individual provider · Type 1 NPI
Samantha Puckett, LCAS-A
Addiction (Substance Use Disorder) Counselor · Raleigh, NC
NPI number
1407580111
Active
Practice location
6112 Saint Giles St
Raleigh, NC 27612-7043
Mailing address
212 Providence Glen Dr
Chapel Hill, NC 27514-6992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-28291 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407580111
Samantha Puckett, LCAS-A's National Provider Identifier is 1407580111, issued on Jul 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 11, 2022.