| NPI | 1932967247 |
|---|---|
| Other Name | LEE TERRENCE PUCKETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 101YA0400X) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |