Individual provider · Type 1 NPI

Ethan Puckett

Counselor · Bowling Green, KY

NPI number 1700645017 Active

Practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Call (270) 901-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1700645017

Ethan Puckett's National Provider Identifier is 1700645017, issued on Mar 18, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bowling Green, KY. The record was last updated on Mar 18, 2024.