person
Mr. Richard Terrence Lee Puckett JR., N/A
Addiction (Substance Use Disorder) Counselor in Dillingham, Alaska
NPI 1932967247

Richard Terrence Lee Puckett JR. is an Addiction (Substance Use Disorder) Counselor based in Dillingham, AK and is specialized in Addiction (Substance Use Disorder). Richard Terrence Lee Puckett JR. practices in Dillingham, AK and has the professional credentials of N/A. The NPI Number for Richard Terrence Lee Puckett JR. is 1932967247 and holds a License No. 101YA0400X (Alaska).

The current practice location address for Richard Terrence Lee Puckett JR. is 533 Central Avenue, Dillingham, AK and can be reached out via phone at 907-843-1191 and via fax at 000-000-0000.

Location: 533 Central Avenue, Dillingham, AK, 99576-0638
person
Provider Profile Details
NPI Number
1932967247
Provider Name
Richard Terrence Lee Puckett JR.
Credential
N/A
Provider Entity Type
Individual
Gender
Male
Address
533 Central Avenue, Dillingham, AK, 99576-0638
Phone Number
907-843-1191
Fax Number
000-000-0000
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
533 Central Avenue
City
State
Zip
99576
Phone Number
907-843-1191
Fax Number
000-000-0000
person
Provider Business Mailing Address Details
Address
533 Central Avenue
City
State
Zip
99576
Phone Number
907-843-1191
Fax Number
000-000-0000
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X (Alaska)
Definition
Definition to come...
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