Doctor Name: | MS. ANDREA L BUTLER |
NPI Number: | 1417144312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 2 N. Dundalk Ave Dundalk, MD - 21222 |
Business Phone Number: | 4102884356 |
Business Fax Number: | |
Mailing Address: | 2 N. Dundalk Ave, DUNDALK |
State: | MD |
Postal Code: | 21222 |
Phone Number: | 4102884356 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |