Provider Demographics
NPI:1528534054
Name:PUTNAM, MEGAN HOPE (LMHC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:HOPE
Last Name:PUTNAM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 S 12TH AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3138
Mailing Address - Country:US
Mailing Address - Phone:509-480-3392
Mailing Address - Fax:
Practice Address - Street 1:307 S 12TH AVE STE 21
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3138
Practice Address - Country:US
Practice Address - Phone:509-440-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health