Individual
THANKFUL J. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2 SPRINGBROOK DR, BIDDEFORD, ME 04005-9443
(207) 282-1500
(207) 282-2581
Mailing address
41 HILLSIDE AVE, SOUTH PORTLAND, ME 04106-4813
(207) 799-8408
(207) 324-8185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3180
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431682199
—
ME
Enumeration date
07/31/2006
Last updated
09/24/2012
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