Individual
DR. JERRY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D
Contact information
Practice address
330 W GRAY, SUITE 140, NORMAN, OK 73069
(405) 919-6821
(405) 360-1616
Mailing address
4820 W RENO AVE, OKLAHOMA CITY, OK 73127-6417
(803) 556-4333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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