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NPI Code Detail

MEDICARE: BUTCH W. ENGLAND LCDC III

MEDICARE: BUTCH W. ENGLAND LCDC III
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
1101YA0400XAddiction (Substance Use Disorder) Counselor162201OH

General Provider Information

NPI Number : 1982308615
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUTCH W. ENGLAND LCDC III
Provider Business Mailing Address
First Line : 682 HAWTHORNE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-2398
Country : US
Telephone Number : 515-921-1613
Fax Number : 513-921-4244
Provider Business Practice Location Address
First Line : 682 HAWTHORNE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-2398
Country : US
Telephone Number : 515-921-1613
Fax Number : 513-921-4244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 03/28/2023

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Directions to “ BUTCH W. ENGLAND LCDC III” Practice Location

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