Individual
MRS. JACQUELINE DENISE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 COMMONWEALTH PL STE 232, VIRGINIA BEACH, VA 23464-4517
(757) 456-9205
(757) 456-9209
Mailing address
900 COMMONWEALTH PL STE 232, VIRGINIA BEACH, VA 23464-4517
(757) 456-9205
(757) 456-9209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0904006406
VA
101YM0800X
Mental Health Counselor
0904006406
VA
101YP1600X
Pastoral Counselor
0904006406
VA
101YS0200X
School Counselor
0904006406
VA
101YS0200X
School Counselor
PPS-0600412
VA
104100000X
Social Worker
0904006406
VA
1041C0700X
Clinical Social Worker
Primary
0904006406
VA
106H00000X
Marriage & Family Therapist
0904006406
VA
251B00000X
Case Management Agency
0904006406
VA
251S00000X
Community/Behavioral Health Agency
090400640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386782993
—
VA
Enumeration date
02/03/2007
Last updated
12/20/2024
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