Individual
ALLISON PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CH.T., MATS
Contact information
Practice address
1919 STATE ST STE 244, NEW ALBANY, IN 47150-6804
(812) 670-5491
(812) 670-5491
Mailing address
4990 E ROBIN RD, PEKIN, IN 47165-7060
(812) 967-5192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001966A
IN
Other
Enumeration date
04/23/2013
Last updated
09/13/2018
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