Individual
SHANE PUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 942-7930
Mailing address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 942-7930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2705
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5118
N/A
—
Enumeration date
10/21/2021
Last updated
10/21/2021
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