Individual provider · Type 1 NPI

Thomas Putnam, LPC

Mental Health Counselor · Chubbuck, ID

NPI number 1598279366 Active

Practice location

210 W Burnside Ave Ste A
Chubbuck, ID 83202-4916

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5049 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1598279366

Thomas Putnam, LPC's National Provider Identifier is 1598279366, issued on Nov 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chubbuck, ID. The record was last updated on Nov 30, 2017.