Individual
MR. RYAN SHELBY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
14961 W BELL RD STE A125, SURPRISE, AZ 85374-3200
(602) 618-8024
Mailing address
14961 W BELL RD STE A125, SURPRISE, AZ 85374-3200
(951) 505-4883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17446
AZ
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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