Puckett, Tamara L
Puckett, Tamara L is an sole proprietor health care provider with primary practice located at 4500 I 55 N Suite 293-S, Jackson MS 39211-5930. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Puckett, Tamara L can be contacted via phone (601) 982-5943.Contact Information
Primary practice address
4500 I 55 N Suite 293-S
Jackson MS 39211-5930
Phone: (601) 982-5943
Fax: (601) 362-4089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0888 | Mississippi |
Profile Details
NPI number | 1366655896 |
---|---|
LBN Legal business name | Puckett, Tamara L |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2007 |
Last updated | Dec 19th, 2008 - about 16 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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