Individual
ANN M BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
418 WASHINGTON ST, WATERTOWN, NY 13601-3736
(315) 755-8520
Mailing address
4 STILLMAN DR, CANTON, NY 13617-1221
(315) 379-8043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011975
NY
Other
Enumeration date
01/29/2024
Last updated
02/06/2024
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