Organization Name: | TRACEY BUTLER COUNSELING & CONSULTING INC. |
NPI Number: | 1083021018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY BUTLER (OWNER) |
Mailing Address: | 19560 Club House Rd Montgomery Village |
State: | MD US |
Postal Code: | 208863002 |
Phone Number: | 2404181930 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2014 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |