Individual
BIANCA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3979 PROSSER ST, WEST SACRAMENTO, CA 95691-6215
(916) 271-6432
Mailing address
3979 PROSSER ST, WEST SACRAMENTO, CA 95691-6215
(916) 271-6432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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