Individual
TIMOTHY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
205 LAKE PENCHANT CT, HOUMA, LA 70360-8324
(985) 872-6769
Mailing address
205 LAKE PENCHANT CT, HOUMA, LA 70360-8324
(985) 872-6769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
663
LA
Other
Enumeration date
07/12/2006
Last updated
03/08/2013
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