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Organization

PUCKETT COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PEGGY SMITH-PUCKETT LMFT (PRESIDENT)
(270) 629-6373
Entity
Organization

Contact information

Practice address
220 N RACE ST, GLASGOW, KY 42141-2816
(270) 629-6373
(270) 479-1302
Mailing address
2130 WILLIE GROCE RD, GLASGOW, KY 42141-7831
(270) 629-6373
(270) 479-1302

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
Primary
0615
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100276850
KY
Enumeration date
12/03/2011
Last updated
08/14/2014
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