Individual
GREGOR JAMES PUTZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
130 SHANGRILA LN, ROGUE RIVER, OR 97537-9600
(831) 915-8648
(831) 625-4764
Mailing address
130 SHANGRILA LN, ROGUE RIVER, OR 97537-9600
(831) 915-8648
(831) 625-4764
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
18538
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT 18538
CA
Other
Enumeration date
08/02/2006
Last updated
09/23/2024
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