Doctor Name: | DARNETTE PUTNEY |
NPI Number: | 1023407103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS-A |
License Number: | LCAS-20150 |
Business Practice Address: | 7417 Knightdale Blvd Suite 101 Knightdale, NC - 275458824 |
Business Phone Number: | 9192618566 |
Business Fax Number: | 9192618569 |
Mailing Address: | 7417 Knightdale Blvd, Unit 101 KNIGHTDALE |
State: | NC |
Postal Code: | 275458824 |
Phone Number: | 9192618566 |
Fax Number: | 9192618569 |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCAS-20150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |