Individual provider · Type 1 NPI
Maria Michelle Putman
Mental Health Counselor · St. Clair Shores, MI
NPI number
1821634148
Active
Practice location
1260 Woodbridge St
St. Clair Shores, MI 48080-1621
Mailing address
12800 E Warren Ave
Detroit, MI 48215-2061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401016969 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1821634148
Maria Michelle Putman's National Provider Identifier is 1821634148, issued on Nov 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Clair Shores, MI. The record was last updated on Nov 21, 2019.