Individual
MISS JERRICAH L BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(636) 466-8497
Mailing address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(636) 466-8497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020027791
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490091456
—
MO
Enumeration date
12/18/2020
Last updated
05/07/2024
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