Individual provider · Type 1 NPI

Jack Putnam

Counselor · St. George, UT

NPI number 1144618802 Active

Practice location

359 E Riverside Dr
St. George, UT 84790-4924

Call (801) 255-5131 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144618802

Jack Putnam's National Provider Identifier is 1144618802, issued on Jan 5, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. George, UT. The record was last updated on Jan 5, 2015.