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Diane Puckett, LPC,LMFT
Professional Counselor in Fairfax, Virginia
NPI 1831299205

Diane Puckett is a Professional Counselor based in Manassas, VA and is specialized in Professional. Diane Puckett practices in Fairfax, VA and has the professional credentials of LPC,LMFT. The NPI Number for Diane Puckett is 1831299205 and holds a License No. 0701002623 (Virginia).

The current practice location address for Diane Puckett is 9675-A Main Street, Fairfax, VA and can be reached out via phone at 703-405-2582. You can also correspond with Diane Puckett through the mailing address at 9618 DUBLIN DRIVE, MANASSAS, VA - 20109-3356 (mailing address contact number: ).

Location: 9675-A Main Street, Fairfax, VA, 20109-3356
person
Provider Profile Details
NPI Number
1831299205
Provider Name
Diane Puckett
Credential
LPC,LMFT
Provider Entity Type
Individual
Gender
Female
Address
9675-A Main Street, Fairfax, VA, 20109-3356
Phone Number
703-405-2582
Fax Number
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9675-A Main Street
City
State
Zip
22031
Phone Number
703-405-2582
Fax Number
person
Provider Business Mailing Address Details
Address
9618 Dublin Drive
City
State
Zip
20109-3356
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002623 (Virginia)
Definition
Definition to come...
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