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NPI Code Detail

MEDICARE: VICKIE BUTLER

MEDICARE: VICKIE BUTLER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1942349840
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE BUTLER
Provider Business Mailing Address
First Line : 511 8TH ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3093
Country : US
Telephone Number : 931-920-7240
Fax Number :
Provider Business Practice Location Address
First Line : 511 8TH ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3093
Country : US
Telephone Number : 931-920-7240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/29/2010

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Directions to “ VICKIE BUTLER ” Practice Location

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