Individual
EMILY PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1944 BRANNAN RD, MCDONOUGH, GA 30253-4310
(404) 304-5622
Mailing address
50 BOARDWALK AVE, COVINGTON, GA 30016-8045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC008088
GA
101YP2500X
Professional Counselor
Primary
LPC014197
GA
Other
Enumeration date
10/15/2021
Last updated
10/17/2023
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