Jacinta Rae Putnam MS, NCC, LP

NPI 1033419163 - Counselor - 101Y00000X

NPI Details
NPI 1033419163
Gender Female
Enumeration Date 10/22/2010
Last Updated 10/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
26246 CRANE ROAD
WHITE EARTH MN, 56591, US
Phone (218) 983-4703
Fax (218) 983-4236
Business Location
P.O. BOX 300
WHITE EARTH MN, 56591, US
Phone (218) 983-4703
Fax (218) 983-4236
Toxanomy
Taxonomy Code 101Y00000X
License State Minnesota
License Number 212983
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According to our database, Ms. Jacinta Rae Putnam MS, NCC, LP NPI is 1033419163, taxonomy code is 101Y00000X and license number is 212983, license state is located at Minnesota. Jacinta Rae Putnam MS, NCC, LP physically located at 26246 Crane Road, White Earth MN, 56591. NPI Number Jacinta Rae Putnam MS, NCC, LP has the Individual type.

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1033419163 NPI number is provided on an as is basis without warranty of any kind. 1033419163 is maintained by the National Plan & Provider Enumeration System. The contents of Jacinta Rae Putnam MS, NCC, LP are for informational purposes only.