Individual
MRS. JEWEL RAYSHELLA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
853 WAKE FOREST BUSINESS PARK, SUITE I, WAKE FOREST, NC 27587-6522
(919) 455-5733
Mailing address
853 WAKE FOREST BUSINESS PARK, SUITE I, WAKE FOREST, NC 27587-6522
(919) 455-5733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5075
NC
101YP2500X
Professional Counselor
5075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14142
NC HEALTH CHOICE
NC
05
—
6103134
—
NC
01
—
8521
5 COUNTY MENTAL HLTH AUTH
NC
Enumeration date
08/31/2006
Last updated
05/14/2013
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