Individual
CORY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
17103 PRESTON RD, STE 250, DALLAS, TX 75248-1332
(972) 250-1700
(972) 250-1701
Mailing address
17103 PRESTON RD, STE 250, DALLAS, TX 75248-1332
(972) 250-1700
(972) 250-1701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67500
TX
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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