Individual
MRS. NONA MORRISON PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED RN LPC
Contact information
Practice address
798 LEESVILLE RD, LYNCHBURG, VA 24502
(434) 239-1928
(434) 239-8779
Mailing address
798 LEESVILLE RD, LYNCHBURG, VA 24502
(434) 239-1928
(434) 239-8779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701002081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175657
ANTHEM BLUE CROSS BS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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