Individual
CASSIE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC, ICGC-I
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
(270) 689-6677
Mailing address
1315 PENNSYLVANIA AVE, LEWISPORT, KY 42351-2444
(270) 922-2049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
281314
KY
104100000X
Social Worker
254407
KY
1041C0700X
Clinical Social Worker
Primary
257753
KY
Other
Enumeration date
12/27/2019
Last updated
11/08/2024
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