Individual
KASEY PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2525 DANIELLE LN, LEXINGTON, KY 40509
(859) 373-0080
Mailing address
2525 DANIELLE LN, LEXINGTON, KY 40509-4193
(859) 373-0080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
248028
KY
Other
Enumeration date
08/19/2016
Last updated
06/27/2019
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