MEDICARE: REBECCA BUTLER MS, LPC, LCASA

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-21804	NC
2	101YM0800X	Mental Health Counselor	11601	NC

General Provider Information

NPI Number	:	1467900969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA BUTLER MS, LPC, LCASA

Provider Business Mailing Address
First Line	:	242 CHARLOTTE ST STE 3
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-1434
Country	:	US
Telephone Number	:	828-214-5168
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 CHARLOTTE ST STE 3
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-1434
Country	:	US
Telephone Number	:	828-214-5168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	09/28/2018

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