Healthcare Provider Details

I. General information

NPI: 1609187673
Provider Name (Legal Business Name): LISA M BUTLER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LISA N MCCATHRAN LCPC

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 ALLEGHENY AVE
TOWSON MD
21204-4258
US

IV. Provider business mailing address

309 ALLEGHENY AVE
TOWSON MD
21204-4258
US

V. Phone/Fax

Practice location:
  • Phone: 410-324-2410
  • Fax:
Mailing address:
  • Phone: 410-324-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3534
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: