Individual
RYON BUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
620 W FREMONT ST, POCATELLO, ID 83204-3053
(208) 234-2244
Mailing address
620 W FREMONT ST, POCATELLO, ID 83204-3053
(208) 234-2244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3220
ID
101YM0800X
Mental Health Counselor
Primary
LCP-3220
ID
Other
Enumeration date
07/31/2014
Last updated
03/05/2026
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