person
Ms. Claralice Putnam, MED,LPC
Mental Health Counselor in Ada, Oklahoma
NPI 1770803322

Claralice Putnam is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Claralice Putnam practices in Ada, OK and has the professional credentials of MED,LPC. The NPI Number for Claralice Putnam is 1770803322 and holds a License No. 2311 (Oklahoma).

The current practice location address for Claralice Putnam is 124 S Broadway Ave, Ada, OK and can be reached out via phone at 580-310-4750 and via fax at 580-559-2223.

Location: 124 S Broadway Ave, Ada, OK, 74820-7115
person
Provider Profile Details
NPI Number
1770803322
Provider Name
Claralice Putnam
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
124 S Broadway Ave, Ada, OK, 74820-7115
Phone Number
580-310-4750
Fax Number
580-559-2223
Provider Enumeration Date
06/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200051000 B 05 OK
institution
Provider Business Practice Location Address Details
Address
124 S Broadway Ave
City
Ada
State
Zip
74820-5820
Phone Number
580-310-4750
Fax Number
580-559-2223
person
Provider Business Mailing Address Details
Address
124 S Broadway Ave
City
Ada
State
Zip
74820-5820
Phone Number
580-310-4750
Fax Number
580-559-2223
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2311 (Oklahoma)
Definition
Definition to come...
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