Doctor Name: | MS. TERESA BUTLER |
NPI Number: | 1265859086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC3359 |
Business Practice Address: | 255 Rockville Pike Suite 145 Rockville, MD - 208504153 |
Business Phone Number: | 2407774392 |
Business Fax Number: | 2407774806 |
Mailing Address: | 255 Rockville Pike, Suite 145 ROCKVILLE |
State: | MD |
Postal Code: | 208504153 |
Phone Number: | 2407774392 |
Fax Number: | 2407774806 |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LC3359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |