Individual
DR. KEITH ANDREW PUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LMHC, NCC
Contact information
Practice address
301 E. WABASH, CONVERSE, IN 46919
(765) 603-9574
(765) 677-2487
Mailing address
5215 N PECONGA DR, MARION, IN 46952-9672
(765) 603-9574
(765) 677-2487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000452A
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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