Individual
CHRISTINA PUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
11260 ROGER BACON DR STE 103, RESTON, VA 20190-5203
(703) 635-3514
Mailing address
11260 ROGER BACON DR STE 103, RESTON, VA 20190-5203
(703) 635-3514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001768
VA
106H00000X
Marriage & Family Therapist
0730000239
VA
Other
Enumeration date
03/04/2019
Last updated
12/29/2020
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