SADA PUCKETT, LPCC, LADC
Counselor - Mental Health
Active
Individual
NPI: 1104497973
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 304393 (MN) |
| Counselor - Mental Health | 101YM0800X | Yes | 02663 (MN) |
Frequently Asked Questions
NPI 1104497973 is the National Provider Identifier for SADA PUCKETT, LPCC, LADC, a Counselor - Mental Health provider located in Plymouth, MN. This NPI was enumerated on July 2, 2021.
SADA PUCKETT, LPCC, LADC practices at 2415 ANNAPOLIS LN N STE 130, Plymouth, MN 55441.
Quick Facts
- NPI
- 1104497973
- Type
- Individual
- Enumerated
- Jul 2, 2021
- Last Updated
- Apr 8, 2022
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