Healthcare Provider Details

I. General information

NPI: 1336495233
Provider Name (Legal Business Name): PATRICIA EILEEN PUTNAM MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 MARKET ST SUITE D
KIRKLAND WA
98033-5422
US

IV. Provider business mailing address

615 MARKET ST STE D
KIRKLAND WA
98033-5422
US

V. Phone/Fax

Practice location:
  • Phone: 916-337-2546
  • Fax:
Mailing address:
  • Phone: 916-337-2546
  • Fax: 425-952-6966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60534861
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLH 60534861
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: