Individual
APRIL DAWN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170958
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175350
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162080
OH
101YM0800X
Mental Health Counselor
QMHS.HSGED
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360174
—
OH
Enumeration date
06/14/2019
Last updated
04/07/2025
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