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Alysia Abigail Puckett
Mental Health Counselor in Dallas, Texas
NPI 1366913246

Alysia Abigail Puckett is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. Alysia Abigail Puckett practices in Dallas, TX. The NPI Number for Alysia Abigail Puckett is 1366913246 and holds a License No. 81040 (Texas).

The current practice location address for Alysia Abigail Puckett is 4849 Greenville Ave, Dallas, TX and can be reached out via phone at 214-433-6433.

Location: 4849 Greenville Ave, Dallas, TX, 75206-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366913246
Provider Name
Alysia Abigail Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
4849 Greenville Ave, Dallas, TX, 75206-4130
Phone Number
214-433-6433
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4849 Greenville Ave
City
Dallas
State
Texas
Zip
75206-4130
Phone Number
214-433-6433
Fax Number
person
Provider Business Mailing Address Details
Address
4849 Greenville Ave
City
Dallas
State
Texas
Zip
75206-4130
Phone Number
214-433-6433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
81040 (Texas)
Definition
Definition to come...
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