Thomas Putnam, LPC

NPI #1598279366 in Chubbuck, Idaho

Provider Information

NPI Number
1598279366
Entity Type
Individual
Name
Thomas Putnam, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Nov 30, 2017
Last Updated
Nov 30, 2017

Practice Location

Address
210 W BURNSIDE AVE STE A
State
Idaho
ZIP Code
83202-4916
Phone
(208) 238-9000

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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