Individual provider · Type 1 NPI

Robert Puckett, MFT

Marriage & Family Therapist · Portland, OR

NPI number 1891242236 Active

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

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X70245 (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.