Organization
RONNIE BUTLER, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE BUTLER LPC (PSYCHOTHERAPIST)
(405) 501-0721
Entity
Organization
Contact information
Practice address
4911 N PORTLAND AVE, STE 100, OKLAHOMA CITY, OK 73112-6171
(405) 501-0721
Mailing address
4911 N PORTLAND AVE, STE 100, OKLAHOMA CITY, OK 73112-6171
(405) 501-0721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3975
OK
251S00000X
Community/Behavioral Health Agency
3975
OK
Other
Enumeration date
04/21/2008
Last updated
09/23/2013
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