| Puckett Child And Family Therapy | |
|
490 Hwy 42 West Clayton, Nc 27520 Clayton, Nc NC 27520 | |
| (919) 210-9850 | |
| Not Available |
| Full Name | Puckett Child And Family Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 490 Hwy 42 West Clayton, Nc 27520, Clayton, Nc, North Carolina |
| Authorized Official Name and Position | Suzanne Puckett (PRACTICE OWNER) |
| Authorized Official Contact | 9192109850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puckett Child And Family Therapy 141 Mary Ellen Way Clayton NC 27520-8708 Ph: (919) 210-9850 | Puckett Child And Family Therapy 490 Hwy 42 West Clayton, Nc 27520 Clayton, Nc NC 27520 Ph: (919) 210-9850 |
| NPI Number | 1821739822 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821739822 | NPI | - | NPPES |
| 2688 | Other | NC | NCBLCMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |