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NPI Code Detail

MEDICARE: SANDRA BUTLER LLP

MEDICARE: SANDRA BUTLER LLP
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1164761292
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA BUTLER LLP
Provider Business Mailing Address
First Line : 1422 W SAGINAW ST # G
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-2434
Country : US
Telephone Number : 517-483-2461
Fax Number : 517-323-9531
Provider Business Practice Location Address
First Line : 1422 W SAGINAW ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-2434
Country : US
Telephone Number : 517-483-2461
Fax Number : 173-239-5315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2013
Last Update Date : 06/15/2021

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Directions to “ SANDRA BUTLER LLP” Practice Location

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