Individual
DR. STEPHANIE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
230 TODD LN, FLORENCE, MT 59833-6619
(253) 355-3475
Mailing address
230 TODD LN, FLORENCE, MT 59833-6619
(253) 355-3475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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