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Individual
MR. DAVID JOSEPH BUTLER SR.
Active
Individual
MR. DAVID JOSEPH BUTLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10380
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911512
CHS
AZ
01
—
AZ0420540
BCBS
AZ
Enumeration date
10/11/2006
Last updated
07/08/2007
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