Individual
MR. ELIJAH DERRICK BUTLER
Active
Individual
MR. ELIJAH DERRICK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
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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