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Individual

MR. NICHOLAS GREGORY BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
101 W KIRKWOOD AVE, SUITE 210, BLOOMINGTON, IN 47404-6129
(812) 219-6007
(812) 334-3885
Mailing address
101 W KIRKWOOD AVE, SUITE 210, BLOOMINGTON, IN 47404-6129
(812) 219-6007
(812) 334-3885

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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