Individual
RYAN L BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAT
Contact information
Practice address
4921 GREEN RIVER ST, CHEYENNE, WY 82001-2148
(307) 223-6131
Mailing address
4921 GREEN RIVER ST, CHEYENNE, WY 82001-2148
(307) 223-6131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PAT-068
WY
Other
Enumeration date
10/27/2014
Last updated
10/30/2015
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