Provider Demographics
NPI:1023621877
Name:PUTTER, EILEEN S (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:S
Last Name:PUTTER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14011 SE 49TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3401
Mailing Address - Country:US
Mailing Address - Phone:206-310-8855
Mailing Address - Fax:
Practice Address - Street 1:14011 SE 49TH PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-3401
Practice Address - Country:US
Practice Address - Phone:206-310-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health