Individual
BRENDA KAY PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11438 LEBANON RD UNIT H, CINCINNATI, OH 45241-6201
(513) 216-4181
Mailing address
5736 FORSYTHIA CT, COVINGTON, KY 41015-4223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2103142
OH
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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