person
Sada Kathryn Puckett, LPCC,LADC
Mental Health Counselor in Plymouth, Minnesota
NPI 1104497973

Sada Kathryn Puckett is a Mental Health Counselor based in Plymouth, MN and is specialized in Mental Health. Sada Kathryn Puckett practices in Plymouth, MN and has the professional credentials of LPCC,LADC. The NPI Number for Sada Kathryn Puckett is 1104497973 and holds a License No. 304393 (Minnesota).

The current practice location address for Sada Kathryn Puckett is 2415 Annapolis Ln N Ste 130, Plymouth, MN and can be reached out via phone at 763-220-0218.

Location: 2415 Annapolis Ln N Ste 130, Plymouth, MN, 55441-3632
person
Provider Profile Details
NPI Number
1104497973
Provider Name
Sada Kathryn Puckett
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Female
Address
2415 Annapolis Ln N Ste 130, Plymouth, MN, 55441-3632
Phone Number
763-220-0218
Fax Number
Provider Enumeration Date
07/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2415 Annapolis Ln N Ste 130
City
State
Zip
55441-3632
Phone Number
763-220-0218
Fax Number
person
Provider Business Mailing Address Details
Address
2415 Annapolis Ln N Ste 130
City
State
Zip
55441-3632
Phone Number
763-220-0218
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
02663 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
304393 (Minnesota)
Definition
Definition to come...
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