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Diane Puckett, LPC, LMFT

NPI 1831299205 · on the registry since 2006 · sole proprietor

Practice

Address
9675-A Main Street
Fairfax, VA 22031
Phone
(703) 405-2582

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia