Individual
MARK PUTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8805 W 14TH AVE STE 300, LAKEWOOD, CO 80215-4848
(720) 943-7080
(720) 316-7577
Mailing address
PO BOX 631325, LITTLETON, CO 80163-1325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195
CO
Other
Enumeration date
07/27/2013
Last updated
08/16/2022
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