MICHAEL TODD PUCKETT

CHICAGO, IL
NPI1578668794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180005699)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
Mr. MICHAEL TODD PUCKETT LCPC
980 N MICHIGAN AVE STE 1400
CHICAGO, IL 60611-7500
Phone number: 312-214-3588
Mailing Address
Mr. MICHAEL TODD PUCKETT LCPC
1340 N ASTOR ST APT 2305
CHICAGO, IL 60610-2163
Phone number: 312-399-6862
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