Puckett, Stephanie

Puckett, Stephanie is an individual health care provider with primary practice located at 414 W Lebanon St , Mount Airy NC 27030-2954. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Puckett, Stephanie can be contacted via phone (336) 789-9492.

Contact Information

Primary practice address
414 W Lebanon St Mount Airy NC 27030-2954
Fax: (336) 789-9587
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A11005 North Carolina

Profile Details

NPI number 1114328077
LBN Legal business name Puckett, Stephanie
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Sep 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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