Individual
MS. ANDREA LEONA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, LPC
Contact information
Practice address
6610 TRIBUTARY ST STE 300, BALTIMORE, MD 21224-6514
(443) 826-9617
Mailing address
6610 TRIBUTARY ST STE 300, BALTIMORE, MD 21224-6514
(443) 826-9617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC4928
MD
101YP2500X
Professional Counselor
LPC010075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332704300
—
MD
Enumeration date
09/25/2007
Last updated
05/06/2024
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