Individual provider · Type 1 NPI
Robert Puckett, MFT
Marriage & Family Therapist · Portland, OR
Practice location
2302 SE Salmon St
Portland, OR 97214-3944
Mailing address
1208 SE 23rd Ave
Portland, OR 97214-3905
Other practice locations
- 626 Balboa St, San Francisco, CA 94118-3725 · (323) 217-3460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 70245 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1891242236
Robert Puckett, MFT's National Provider Identifier is 1891242236, issued on Sep 1, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2019.