Individual
JESSICA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
101 ADANTA CIR, ALBANY, KY 42602-9549
(606) 387-7635
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00218279
KY
101YP2500X
Professional Counselor
Primary
245521
KY
Other
Enumeration date
04/02/2015
Last updated
11/16/2018
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