Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sada Kathryn Puckett, LPCC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104497973

Sada Kathryn Puckett, LPCC, LADC is an Addiction (Substance Use Disorder) Counselor in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2415 Annapolis Ln N Ste 130
Plymouth, MN 55441-3632
Phone: (763) 220-0218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 02663 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304393 (MN)

Record details

NPI number1104497973
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022

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