Doctor Name: | MARIAN R BUTLER |
NPI Number: | 1205908712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 3682 |
Business Practice Address: | 25 Marshall St Brien Center North Adams, MA - 012472451 |
Business Phone Number: | 4136644541 |
Business Fax Number: | 4136623311 |
Mailing Address: | 29 Mckinley Ter, PITTSFIELD |
State: | MA |
Postal Code: | 012016607 |
Phone Number: | 4134433796 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |