Doctor Name: | AMBER NICHOLE BUTT |
NPI Number: | 1407060130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CADC |
License Number: | 07038 |
Business Practice Address: | 1820 N 16th St Clarinda, IA - 516321165 |
Business Phone Number: | 7125423103 |
Business Fax Number: | |
Mailing Address: | 300 N 19th St, CLARINDA |
State: | IA |
Postal Code: | 516321418 |
Phone Number: | 7125426402 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 07038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |