Individual
JOHN DEAN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
3900 LAKELAND DR STE 203, FLOWOOD, MS 39232-8853
(601) 228-6907
Mailing address
5525 PINE LANE DR, JACKSON, MS 39211-4019
(601) 573-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0725
MS
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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