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Individual
MRS. JEWEL RAYSHELLA BUTLER
Active
Individual
MRS. JEWEL RAYSHELLA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5075
NC
101YP2500X
Professional Counselor
5075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14142
NC HEALTH CHOICE
NC
05
—
6103134
—
NC
01
—
8521
5 COUNTY MENTAL HLTH AUTH
NC
Enumeration date
08/31/2006
Last updated
05/14/2013
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