| Mr Tracey Lee Puckett Sr, CDCA, QMHS, BA | |
|
899 E Broad St # 110, Columbus, OH 43205-1156 | |
| (614) 220-8655 | |
| Not Available |
| Full Name | Mr Tracey Lee Puckett Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 899 E Broad St # 110, Columbus, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740786706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 130994 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracey Lee Puckett Sr, CDCA, QMHS, BA 235 Dean Ln, Frankfort, OH 45628-9626 Ph: (740) 981-7546 | Mr Tracey Lee Puckett Sr, CDCA, QMHS, BA 899 E Broad St # 110, Columbus, OH 43205-1156 Ph: (614) 220-8655 |
Mr. Daryush Parvinbenam, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 W Johnstown Rd, Columbus, OH 43230 Phone: 614-305-5102 Fax: 614-383-7786 | |
Molly Marie Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Bethel Rd, Columbus, OH 43220 Phone: 614-459-9022 Fax: 614-451-3017 | |
Mr. Lucas Alan Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-938-0350 Fax: 614-938-0170 | |
Ms. Katherine Anne Risinger, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 | |
Tracie Lynn Keller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221 Phone: 614-822-7819 Fax: 614-372-5590 | |
Jennifer R Williams, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-227-6865 Fax: 614-227-6873 | |
Heather Russo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8695 Fax: 614-355-7855 |