DIANE PUCKETT

FAIRFAX, VA
NPI1831299205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  0701002623)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
-- DIANE PUCKETT LPC, LMFT
9675-A MAIN STREET
FAIRFAX, VA 22031
Phone number: 703-405-2582
Mailing Address
-- DIANE PUCKETT LPC, LMFT
9618 DUBLIN DRIVE
MANASSAS, VA 20109-3356
Phone number:
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