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MISS SHOSHANA L PUCKETT
NPI 1609171941
Counselor - Addiction (Substance Use Disorder) in Olney, IL

Active since January 18, 2011
504 MICAH DR, DRAWER M, OLNEY, IL 62450(618) 395-4306(618) 395-4507 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Shoshana L Puckett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHOSHANA L PUCKETT (NPI 1609171941) is an individual addiction (substance use disorder) provider in Olney, Illinois and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1609171941
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS SHOSHANA L PUCKETT
Location Address504 MICAH DR, DRAWER MOlney, IL 62450-4720
Mailing Address504 Micah Dr, Drawer MOlney, IL 62450-4720 · (618) 395-4306 · Fax (618) 395-4507
Phone(618) 395-4306
Fax(618) 395-4507
Sole ProprietorNo
Enumeration DateJanuary 18, 2011
✔ NPI 1609171941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
504 MICAH DR, Olney, IL 62450
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KYNA VINCENT
Counselor
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
RICHLAND FAMILY COUNSELING CTRS INC
Counselor (Addiction (Substance Use Disorder))
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4309
MR. WESLEY GRIESEMER BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4309
MRS. ALICE MULRENIN BA
Counselor (Mental Health)
504 MICAH DR
OLNEY, IL 62450
Richland County (619) 395-4306
MS. DESTINY M MILLER BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4506
MISS JAMIE L LONG
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
MS. RICKIE WOOD BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
DR. ALEXANDER WALDHERR DO
Family Medicine (Sports Medicine)
504 MICAH DR
OLNEY, IL 62450
Richland County (618) 388-3128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoshana Puckett's NPI number?

The NPI number for Shoshana Puckett is 1609171941. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Shoshana Puckett located?

Shoshana Puckett practices at 504 Micah Dr Drawer M, Olney, IL 62450. The listed phone number is (618) 395-4306.

What is Shoshana Puckett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shoshana Puckett was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.