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Ethan Puckett
Counselor in Bowling Green, Kentucky
NPI 1700645017

Ethan Puckett is a Counselor based in Bowling Green, KY. Ethan Puckett practices in Bowling Green, KY. The NPI Number for Ethan Puckett is 1700645017 and holds a License No. (Kentucky).

The current practice location address for Ethan Puckett is 380 Suwannee Trail St, Bowling Green, KY and can be reached out via phone at 270-901-5000.

Location: 380 Suwannee Trail St, Bowling Green, KY, 42103-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700645017
Provider Name
Ethan Puckett
Credential
Provider Entity Type
Individual
Gender
Male
Address
380 Suwannee Trail St, Bowling Green, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
380 Suwannee Trail St
City
Bowling Green
State
Kentucky
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
person
Provider Business Mailing Address Details
Address
380 Suwannee Trail St
City
Bowling Green
State
Kentucky
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
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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