Individual
MRS. BROOKE LEIGH BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 MEADOW LN, YADKINVILLE, NC 27055-5845
(336) 661-5824
Mailing address
3921 MEADOW LN, YADKINVILLE, NC 27055-5845
(336) 661-5824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18658
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/12/2018
Last updated
03/21/2024
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