Individual
DAVID BUTENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 E 4TH ST, BOSTON, MA 02127-3063
(617) 268-5000
Mailing address
675 E 4TH ST, BOSTON, MA 02127-3063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396079414
GAVIN FOUNDATION
—
Enumeration date
12/11/2017
Last updated
12/11/2017
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