Individual
DOUGLAS JOHN BUTTIKOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
607 W BROADWAY AVE, SUITE 111 UNIT 41, FAIRFIELD, IA 52556-3264
(641) 919-0647
Mailing address
607 W BROADWAY AVE, SUITE 111 UNIT 41, FAIRFIELD, IA 52556-3264
(641) 919-0647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0415
IA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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