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Gina B Putt, MA
Counselor in South Bend, Indiana
NPI 1669791679

Gina B Putt is a Counselor based in Goshen, IN. Gina B Putt practices in South Bend, IN and has the professional credentials of MA. The NPI Number for Gina B Putt is 1669791679 and holds a License No. (Indiana).

The current practice location address for Gina B Putt is 415 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1234 and via fax at 574-537-2652.

Location: 415 E Madison St, South Bend, IN, 46527-0809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669791679
Provider Name
Gina B Putt
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
415 E Madison St, South Bend, IN, 46527-0809
Phone Number
574-283-1234
Fax Number
574-537-2652
Provider Enumeration Date
06/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
415 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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