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General NPI Number Information
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NPI Number | 1962864520
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Entity Type | Organization
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Legal Business Name | BUTLER COUNSELING & CONSULTING
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 301 S THIRD ST
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City | MEBANE
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State | NC
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Zip | 27302-2617
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Country | US
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Telephone | 336-269-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 STUART DR
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City | MEBANE
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State | NC
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Zip | 27302-7111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUDY BUTLER
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Credential | PSYD
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Telephone | 336-269-0818
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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 | 12018
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 99NCFBPPC
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License Number State | NC
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