Individual
MICHAEL GRANT BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1806 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 755-0052
Mailing address
1806 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 755-0052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001968A
IN
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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