Individual
SYDNEY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7570 OLD CANTON RD STE 102, MADISON, MS 39110-6100
(601) 809-5324
Mailing address
17 BASTILLE ST, BRANDON, MS 39047-8551
(601) 405-1104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1179
MS
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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