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Organization
PUCKETT COUNSELING SERVICES
Active
Organization
PUCKETT COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY SMITH-PUCKETT LMFT (PRESIDENT)
(270) 629-6373
Entity
Organization
Contact information
Practice address
220 N RACE ST, GLASGOW, KY 42141-2816
(270) 629-6373
(270) 479-1302
Mailing address
2130 WILLIE GROCE RD, GLASGOW, KY 42141-7831
(270) 629-6373
(270) 479-1302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0615
KY
Other
Enumeration date
12/03/2011
Last updated
08/14/2014
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