Individual
VIRGIL RYAN BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100584860
—
KY
Enumeration date
04/20/2012
Last updated
03/23/2022
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