Individual
BETHANY DAWN PUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 MACARTHUR DR, WACO, TX 76708-3161
(402) 926-4373
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9228
NE
101YP2500X
Professional Counselor
Primary
71356
TX
Other
Enumeration date
11/04/2010
Last updated
08/02/2023
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