Puckett, Sada Kathryn

Puckett, Sada Kathryn is an individual health care provider with primary practice located at 2415 Annapolis Ln N Ste 130 , Plymouth MN 55441-3632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Puckett, Sada Kathryn can be contacted via phone (763) 220-0218.

Contact Information

Primary practice address
2415 Annapolis Ln N Ste 130 Plymouth MN 55441-3632
Phone: (763) 220-0218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304393 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 02663 Minnesota

Profile Details

NPI number 1104497973
LBN Legal business name Puckett, Sada Kathryn
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2021
Last updated Apr 8th, 2022 - about 4 years ago

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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