Individual
JORDAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
GEORGE WASHINGTON UNIVERSITY CHARLES SMITH CENTER, WASHINGTON, DC 20052-0001
(202) 994-0288
Mailing address
1125 MADISON ST APT 404, ALEXANDRIA, VA 22314-6432
(443) 244-1963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PRC200001972
DC
101YP2500X
Professional Counselor
Primary
LC11127
MD
Other
Enumeration date
07/31/2020
Last updated
04/07/2024
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