Individual
MRS. DOMINIQUE BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC
Contact information
Practice address
100 YEARSLEY MILL ROAD, LIMA, PA 19460
(484) 227-1569
(484) 227-1406
Mailing address
865 ROBERTS AVE, PHOENIXVILLE, PA 19460-3556
(610) 357-1665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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