Provider Demographics
NPI:1972774149
Name:PUTNAM, CARA LOU
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LOU
Last Name:PUTNAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 IRON ST
Mailing Address - Street 2:
Mailing Address - City:LOCHBUIE
Mailing Address - State:CO
Mailing Address - Zip Code:80603-5850
Mailing Address - Country:US
Mailing Address - Phone:303-637-7490
Mailing Address - Fax:
Practice Address - Street 1:388 IRON ST
Practice Address - Street 2:
Practice Address - City:LOCHBUIE
Practice Address - State:CO
Practice Address - Zip Code:80603-5850
Practice Address - Country:US
Practice Address - Phone:303-637-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health