Individual
CORIELLE PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPCC
Contact information
Practice address
1430 OAK CT STE 310, BEAVERCREEK, OH 45430-1063
(937) 705-6040
(571) 316-1854
Mailing address
1430 OAK CT STE 310, BEAVERCREEK, OH 45430-1063
(937) 705-6040
(571) 316-1854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010074
VA
101YM0800X
Mental Health Counselor
Primary
E.2202964
OH
101YM0800X
Mental Health Counselor
MH 15064
FL
Other
Enumeration date
05/05/2017
Last updated
03/18/2025
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