Individual
ALLEN LEE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
1412 COTTONWOOD ST, UPLAND, CA 91786-1511
(310) 719-5268
Mailing address
1412 COTTONWOOD ST, UPLAND, CA 91786-1511
(310) 719-5268
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT158124
CA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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