Individual
KATHLEEN ANN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1017 HAMPSHIRE DR, MARYVILLE, TN 37801-3525
(865) 724-4923
(865) 448-2220
Mailing address
PO BOX 684, ALCOA, TN 37701-0684
(865) 724-6277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002897
TN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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