Individual
JESSICA CAROL PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 E DAVIS ST STE 230, CULPEPER, VA 22701-3052
(540) 212-9805
Mailing address
17436 SADDLE RUN, RIXEYVILLE, VA 22737-3252
(571) 991-2772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013574
VA
Other
Enumeration date
10/28/2024
Last updated
11/20/2024
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