# MRS. JACQUELINE DENISE BUTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386782993
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 0904006406 | VA | — |
| 101YM0800X | Mental Health Counselor | 0904006406 | VA | — |
| 101YP1600X | Pastoral Counselor | 0904006406 | VA | — |
| 101YS0200X | School Counselor | 0904006406 | VA | — |
| 101YS0200X | School Counselor | PPS-0600412 | VA | — |
| 104100000X | Social Worker | 0904006406 | VA | — |
| 1041C0700X | Clinical Social Worker | 0904006406 | VA | Yes |
| 106H00000X | Marriage & Family Therapist | 0904006406 | VA | — |
| 251B00000X | Case Management Agency | 0904006406 | VA | — |
| 251S00000X | Community/Behavioral Health Agency | 090400640 | VA | — |

## Other

- **Enumeration date:** 02/03/2007
- **Last updated:** 12/20/2024