| Doctor Name: | MR. ED PUTNAM |
| NPI Number: | 1033352406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHP, CPC |
| License Number: | 1507 |
| Business Practice Address: | 603 East Ave Holdrege, NE - 689492314 |
| Business Phone Number: | 3089959399 |
| Business Fax Number: | 3089959399 |
| Mailing Address: | 603 East Ave, Po Box 56 HOLDREGE |
| State: | NE |
| Postal Code: | 689492314 |
| Phone Number: | 3089959399 |
| Fax Number: | 3089959399 |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 07/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |