GREGOR JAMES PUTZKA MFT
NPI 1124035084
Marriage & Family Therapist in Rogue River, OR

Active since August 02, 2006
130 SHANGRILA LN, ROGUE RIVER, OR 97537(831) 915-8648(831) 625-4764 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregor James Putzka Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGOR JAMES PUTZKA MFT (NPI 1124035084) is an individual marriage & family therapist in Rogue River, Oregon, licensed in California (LMFT 18538) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124035084
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGREGOR JAMES PUTZKACredential: MFT
Location Address130 SHANGRILA LNRogue River, OR 97537-9600
Mailing Address130 Shangrila LnRogue River, OR 97537-9600 · (831) 915-8648 · Fax (831) 625-4764
Fax(831) 625-4764
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
NPI 1124035084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · LMFT 18538 Licensed in CA · 18538
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

130 SHANGRILA LN, Rogue River, OR 97537

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124035084, enumerated as an "individual" on August 02, 2006.

The provider is located at 130 SHANGRILA LN ROGUE RIVER, OR 97537 and the phone number is (831) 915-8648.

Marriage & Family Therapist with taxonomy code 106H00000X.