Individual
MR. RANDALL RUSSELL BUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
914 S WESTNEDGE AVE, SUITE 2, KALAMAZOO, MI 49008-1110
(269) 808-7443
Mailing address
1725 CHARTER AVE, PORTAGE, MI 49024-4909
(269) 808-7443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6801061500
MI
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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