| Mr Richard Terrence Lee Puckett Jr, N/A | |
|
533 Central Avenue, 638, Dillingham, AK 99576 | |
| (907) 843-1191 | |
| (000) 000-0000 |
| Full Name | Mr Richard Terrence Lee Puckett Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 533 Central Avenue, Dillingham, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932967247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101YA0400X (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Terrence Lee Puckett Jr, N/A Po Box 638, Dillingham, AK 99576-0638 Ph: (907) 843-1191 | Mr Richard Terrence Lee Puckett Jr, N/A 533 Central Avenue, 638, Dillingham, AK 99576 Ph: (907) 843-1191 |
Nancy Joan Clodfelter, PHD, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250 | |
Laetitia Marie Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-5201 | |
Hector Bravo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd., Dillingham, AK 99576 Phone: 907-842-5266 Fax: 907-842-5915 | |
Ms. Spruce Margaret Lynch, ABHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Bristol Bay Area Health Corporation, Dillingham, AK 99576 Phone: 907-842-1230 | |
Ms. Leah Faye Dupuy, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-9438 Fax: 907-842-5915 | |
Chiara Bagley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-3398 | |
Anecia E. Nanok Ouya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd., Dillingham, AK 99576 Phone: 907-842-9218 Fax: 907-842-9250 |