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Individual

TIMOTHY BLAKE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
2027 S 61ST ST STE 121, TEMPLE, TX 76504-6817
(254) 742-5142
(254) 295-0854
Mailing address
2027 S 61ST ST STE 121, TEMPLE, TX 76504-6817
(254) 295-0854

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201905
TX

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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