Individual
MS. TRACEY A. BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1180 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-3045
(301) 714-1212
Mailing address
17900 OVERWOOD DR, OLNEY, MD 20832-2019
(301) 924-4798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4060
MD
Other
Enumeration date
10/01/2008
Last updated
09/06/2011
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