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Judith Puckett
Counselor in Russellville, Arkansas
NPI 1578857959

Judith Puckett is a Counselor based in Springdale, AR. Judith Puckett practices in Russellville, AR. The NPI Number for Judith Puckett is 1578857959 and holds a License No. (Arkansas).

The current practice location address for Judith Puckett is 3205 W Main St, Russellville, AR and can be reached out via phone at 479-967-4673 and via fax at 479-967-7140. You can also correspond with Judith Puckett through the mailing address at 5537 BLEAUX AVE, SPRINGDALE, AR - 72762-0737 (mailing address contact number: 479-872-5580).

Location: 3205 W Main St, Russellville, AR, 72762-0737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578857959
Provider Name
Judith Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
3205 W Main St, Russellville, AR, 72762-0737
Phone Number
479-967-4673
Fax Number
479-967-7140
Provider Enumeration Date
06/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3205 W Main St
City
Russellville
State
Arkansas
Zip
72801-2301
Phone Number
479-967-4673
Fax Number
479-967-7140
person
Provider Business Mailing Address Details
Address
3205 W Main St
City
Russellville
State
Arkansas
Zip
72801-2301
Phone Number
479-967-4673
Fax Number
479-967-7140
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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