| Doctor Name: | MRS. RITA MARIE BUTLER |
| NPI Number: | 1518120542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MC, LPC, LISAC |
| License Number: | LISAC-1689 |
| Business Practice Address: | 1325 Steinway Dr Wickenburg, AZ - 853903184 |
| Business Phone Number: | 9282313193 |
| Business Fax Number: | 9286844442 |
| Mailing Address: | 1325 Steinway Dr, WICKENBURG |
| State: | AZ |
| Postal Code: | 853903184 |
| Phone Number: | 9282313193 |
| Fax Number: | 9286844442 |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-1689 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |