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: |