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Stephanie M Puckett
Mental Health Counselor in Raleigh, North Carolina
NPI 1518426949

Stephanie M Puckett is a Mental Health Counselor based in Raleigh, NC and is specialized in Mental Health. Stephanie M Puckett practices in Raleigh, NC. The NPI Number for Stephanie M Puckett is 1518426949 and holds a License No. A14640 (North Carolina).

The current practice location address for Stephanie M Puckett is 1206 Canterbury Rd, Raleigh, NC and can be reached out via phone at 919-622-5906.

Location: 1206 Canterbury Rd, Raleigh, NC, 27608-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518426949
Provider Name
Stephanie M Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
1206 Canterbury Rd, Raleigh, NC, 27608-1900
Phone Number
919-622-5906
Fax Number
Provider Enumeration Date
03/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1206 Canterbury Rd
City
Raleigh
State
North Carolina
Zip
27608-1900
Phone Number
919-622-5906
Fax Number
person
Provider Business Mailing Address Details
Address
1206 Canterbury Rd
City
Raleigh
State
North Carolina
Zip
27608-1900
Phone Number
919-622-5906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A14640 (North Carolina)
Definition
Definition to come...
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