Individual
ERIN TIERNEY-BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3910 OLD BUCKINGHAM RD, POWHATAN, VA 23139-5719
(804) 556-5400
(804) 556-5403
Mailing address
PO BOX 189, GOOCHLAND, VA 23063-0189
(804) 556-5400
(804) 556-5403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159800
ANTHEM - POWH LOC
VA
01
—
159813
ANTHEM - GCH LOC
VA
01
—
2128469
MAMSI
VA
01
—
A932447
VALUE OPTIONS
VA
01
—
O81629M
SENTARA
VA
Enumeration date
05/26/2006
Last updated
07/08/2007
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