Puckett, Jeffrey Paul

Puckett, Jeffrey Paul is an individual health care provider with primary practice located at 2245 Challenger Way , Santa Rosa CA 95407-5418. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Puckett, Jeffrey Paul can be contacted via phone (707) 565-4993.

Contact Information

Primary practice address
2245 Challenger Way Santa Rosa CA 95407-5418
Phone: (707) 565-4993
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 122229 California

Profile Details

NPI number 1366950172
LBN Legal business name Puckett, Jeffrey Paul
Credentials ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Aug 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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