person
Brenda L. Puckett, LPC
Mental Health Counselor in Charlotte, North Carolina
NPI 1083730949

Brenda L. Puckett is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Brenda L. Puckett practices in Charlotte, NC and has the professional credentials of LPC. The NPI Number for Brenda L. Puckett is 1083730949 and holds a License No. 5337 (North Carolina).

The current practice location address for Brenda L. Puckett is 1123 S Church St, Charlotte, NC and can be reached out via phone at 704-370-3235 and via fax at 704-370-3377.

Location: 1123 S Church St, Charlotte, NC, 28203-4003
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Provider Profile Details
NPI Number
1083730949
Provider Name
Brenda L. Puckett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1123 S Church St, Charlotte, NC, 28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143V1 01 NC BLUECROSS BLUESHIELD NC
191999 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
1123 S Church St
City
State
Zip
28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
person
Provider Business Mailing Address Details
Address
1123 S Church St
City
State
Zip
28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5337 (North Carolina)
Definition
Definition to come...
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