Kevin Ryan Puckett I, LSAA - Albuquerque, NM

Kevin Ryan Puckett I, LSAA

Addiction (Substance Use Disorder) Psychologist in Albuquerque, New Mexico

NPI 1881207496

Kevin Ryan Puckett I is an Addiction (Substance Use Disorder) Psychologist based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Kevin Ryan Puckett I practices in Albuquerque, NM and has the professional credentials of LSAA. The NPI Number for Kevin Ryan Puckett I is 1881207496 and holds a License No. CSA0210841 (New Mexico).

The current practice location address for Kevin Ryan Puckett I is 1528 Five Points Rd Sw, Albuquerque, NM and can be reached out via phone at 505-242-6919. You can also correspond with Kevin Ryan Puckett I through the mailing address at 1805 LLANO CT NW, ALBUQUERQUE, NM - 87107-2631 (mailing address contact number: 505-506-7595).

Location: 1528 Five Points Rd Sw, Albuquerque, NM, 87107-2631

NPI Number

1881207496

Provider Name

Kevin Ryan Puckett I

Credential

LSAA

Provider Entity Type

Individual

Gender

Male

Address

1528 Five Points Rd Sw, Albuquerque, NM, 87107-2631

Phone Number

505-242-6919

Fax Number

Provider Enumeration Date

08/25/2020

Last Update Date

03/10/2024

Address

1528 Five Points Rd Sw

City

Albuquerque

State

New Mexico

Zip

87105-3179

Phone Number

505-242-6919

Fax Number

Address

1528 Five Points Rd Sw

City

Albuquerque

State

New Mexico

Zip

87105-3179

Phone Number

505-242-6919

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Addiction (Substance Use Disorder)

Taxonomy

103TA0400X

License No.

CSA0210841 (New Mexico)

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

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