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General NPI Number Information
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NPI Number | 1710279302
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Entity Type | Individual
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Provider Name | LINDA CHRISTINE BUTTS LPC, RPT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2011
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 411 S WALSH DR SUITE 135A
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City | CASPER
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State | WY
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Zip | 82609-2306
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Country | US
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Telephone | 307-333-2359
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Fax | 307-333-2360
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Provider Business Mailing Address
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Address Line | PO BOX 51596
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City | CASPER
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State | WY
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Zip | 82605-1596
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Country | US
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Telephone | 307-333-2359
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Fax | 307-333-2360
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | WY LPC 495
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License Number State | WY
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