Individual
MR. ELIJAH DERRICK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2600 W. 9TH ST., C HESTER, PA 19013
(610) 497-7307
Mailing address
5 WHITEHAVEN DR, NEW CASTLE, DE 19720
(302) 326-1513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC-0000559
DE
101YP2500X
Professional Counselor
Primary
PC005572
PA
Other
Enumeration date
10/02/2006
Last updated
07/25/2024
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