Individual provider · Type 1 NPI
Tracey Lee Puckett Sr., CDCA, QMHS, BA
Addiction (Substance Use Disorder) Counselor · Columbus, OH
NPI number
1740786706
Active
Practice location
899 E Broad St # 110
Columbus, OH 43205-1156
Mailing address
235 Dean Ln
Frankfort, OH 45628-9626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 130994 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1740786706
Tracey Lee Puckett Sr., CDCA, QMHS, BA's National Provider Identifier is 1740786706, issued on Mar 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Mar 30, 2018.