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NPI Code Detail

MEDICARE: MICHEL ANGELO PUTNAM

MEDICARE: MICHEL ANGELO PUTNAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1487507034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEL ANGELO PUTNAM
Provider Business Mailing Address
First Line : 404 SQUIRE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-2336
Country : US
Telephone Number : 719-645-2165
Fax Number :
Provider Business Practice Location Address
First Line : 404 SQUIRE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-2336
Country : US
Telephone Number : 719-645-2165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ MICHEL ANGELO PUTNAM ” Practice Location

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