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Miss Shoshana L Puckett
Mental Health Counselor in Olney, Illinois
NPI 1609171941

Shoshana L Puckett is a Mental Health Counselor based in Olney, IL and is specialized in Mental Health. Shoshana L Puckett practices in Olney, IL. The NPI Number for Shoshana L Puckett is 1609171941 and holds a License No. (Illinois).

The current practice location address for Shoshana L Puckett is 504 Micah Dr, Olney, IL and can be reached out via phone at 618-395-4306 and via fax at 618-395-4507. You can also correspond with Shoshana L Puckett through the mailing address at 504 MICAH DR, OLNEY, IL - 62450-4720 (mailing address contact number: 618-395-4306).

Location: 504 Micah Dr, Olney, IL, 62450-4720
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Provider Profile Details
NPI Number
1609171941
Provider Name
Shoshana L Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
504 Micah Dr, Olney, IL, 62450-4720
Phone Number
618-395-4306
Fax Number
618-395-4507
Provider Enumeration Date
01/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Micah Dr
City
State
Zip
62450-4720
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider Business Mailing Address Details
Address
504 Micah Dr
City
State
Zip
62450-4720
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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