Individual
CHASE C BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC, LPC
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 115, GAINESVILLE, VA 20155-3197
(804) 207-6737
Mailing address
7051 HEATHCOTE VILLAGE WAY STE 115, GAINESVILLE, VA 20155-3197
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006265
VA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/06/2014
Last updated
11/17/2023
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