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Individual

JOHNNA BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8340 AUSTIN ST. APT 2F, KEW GARDENS, NY 11415-1827
(917) 744-7951
Mailing address
8340 AUSTIN ST. APT 2F, KEW GARDENS, NY 11415-1827

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001756
NY

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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