Individual
MR. RICHARD TERRENCE LEE PUCKETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
533 CENTRAL AVENUE, 638, DILLINGHAM, AK 99576
(907) 843-1191
(000) 000-0000
Mailing address
PO BOX 638, DILLINGHAM, AK 99576-0638
(907) 843-1191
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
AK
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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