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NPI Code Detail

MEDICARE: MAZIEN BUTLER BCPC

MEDICARE: MAZIEN BUTLER BCPC
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
1101YP1600XPastoral CounselorRNLFCSVS1703LA

General Provider Information

NPI Number : 1205340114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAZIEN BUTLER BCPC
Provider Business Mailing Address
First Line : PO BOX 45698
Second Line :
City : BATON ROUGE
State : LA
Zip : 70895-4698
Country : US
Telephone Number : 225-924-9164
Fax Number : 225-924-5479
Provider Business Practice Location Address
First Line : 7569 E INDUSTRIAL DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-7518
Country : US
Telephone Number : 225-924-9164
Fax Number : 225-924-5479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 03/17/2018

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Directions to “ MAZIEN BUTLER BCPC” Practice Location

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