Individual
RITA PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N 31ST ST STE D, MONROE, LA 71201-3900
(318) 855-3868
(318) 537-9688
Mailing address
806 N 31ST ST STE D, MONROE, LA 71201-3900
(318) 855-3868
(318) 537-9688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
LA
Enumeration date
09/21/2016
Last updated
09/21/2016
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