Individual provider · Type 1 NPI

Richard Terrence Lee Puckett Jr., N/A

Addiction (Substance Use Disorder) Counselor · Dillingham, AK

NPI number 1932967247 Active

Practice location

533 Central Avenue, 638
Dillingham, AK 99576

Call (907) 843-1191 Map

Fax (000) 000-0000

Mailing address

PO Box 638
Dillingham, AK 99576-0638

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (AK)

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

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About NPI 1932967247

Richard Terrence Lee Puckett Jr., N/A's National Provider Identifier is 1932967247, issued on Mar 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dillingham, AK. The record was last updated on Mar 11, 2024.