person
Ritchie D Puckett, LCAS-A
Addiction (Substance Use Disorder) Counselor in Mount Airy, North Carolina
NPI 1093198954

Ritchie D Puckett is an Addiction (Substance Use Disorder) Counselor based in Concord, NC and is specialized in Addiction (Substance Use Disorder). Ritchie D Puckett practices in Mount Airy, NC and has the professional credentials of LCAS-A. The NPI Number for Ritchie D Puckett is 1093198954 and holds a License No. LCAS-21887 (North Carolina).

The current practice location address for Ritchie D Puckett is 847 W Lake Dr, Mount Airy, NC and can be reached out via phone at 336-783-6919.

Location: 847 W Lake Dr, Mount Airy, NC, 28025-1894
person
Provider Profile Details
NPI Number
1093198954
Provider Name
Ritchie D Puckett
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
847 W Lake Dr, Mount Airy, NC, 28025-1894
Phone Number
336-783-6919
Fax Number
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCAS-21887 05 NC
institution
Provider Business Practice Location Address Details
Address
847 W Lake Dr
City
State
Zip
27030-2157
Phone Number
336-783-6919
Fax Number
person
Provider Business Mailing Address Details
Address
847 W Lake Dr
City
State
Zip
27030-2157
Phone Number
336-783-6919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-21887 (North Carolina)
Definition
Definition to come...
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