MEDICARE: NATHAN BUTTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669697215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN BUTTON

Provider Business Mailing Address
First Line	:	5721 OLD NACHES HWY
Second Line	:
City	:	NACHES
State	:	WA
Zip	:	98937-9246
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 OLD NACHES HWY
Second Line	:
City	:	NACHES
State	:	WA
Zip	:	98937-9246
Country	:	US
Telephone Number	:	509-575-4084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	11/06/2007

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Directions to “ NATHAN BUTTON ” Practice Location

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