Individual
ERIKA D PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 SPRING AVE NE, CANTON, OH 44714
(330) 454-6800
(330) 588-7176
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII161762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275772
—
OH
Enumeration date
01/21/2015
Last updated
10/16/2018
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