IndividualActive
Albert Puckett, CPRS
NPI 1124809306 · Peer Specialist · Xenia, OH
Provider details
- NPI number
- 1124809306
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CPRS
- Sex
- Male
- Sole proprietor
- No
- License
- APS.004401 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
282 Stelton Rd
Xenia, OH 45385-5220
Phone: (937) 708-8348
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 212
Xenia, OH 45385-0212
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.