Individual
CHRISTOPHER A. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945395
—
VA
01
—
00945395
VIRGINIA PREMIER NUMBER
VA
01
—
174729
ANTHEM NUMBER
VA
01
—
O89538M
OPTIMA NUMBER
VA
Enumeration date
10/25/2006
Last updated
12/27/2019
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