Individual provider · Type 1 NPI

Shoshana L. Puckett

Addiction (Substance Use Disorder) Counselor · Olney, IL

NPI number 1609171941 Active

Practice location

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Call (618) 395-4306 Map

Fax (618) 395-4507

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609171941

Shoshana L. Puckett's National Provider Identifier is 1609171941, issued on Jan 18, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Olney, IL. The record was last updated on Jan 18, 2011.