Individual
AUDREY MICHELLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 QUARTZ DR, VILLA RICA, GA 30180-3255
(770) 812-3839
Mailing address
378 WENTWORTH CIR, VILLA RICA, GA 30180-7229
(770) 313-6554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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