Most Relevant Information
Provider Data
NPI Number: | 1003530411 |
Provider Name: | MATTHEW PUTTS PHD, LRC |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/29/2022 |
Last Updated: | 09/29/2022 |
Provider Practice Location
139 W SHORE TRL
SPARTA
NJ
078711725
Practice Location Phone/Fax
Phone: | 9738798525 |
Fax: |
Provider Mailing Location
139 W SHORE TRL
SPARTA
NJ
078711725
Provider Mailing Phone/Fax
Phone: | |
Fax: |