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Individual

MRS. RITA MARIE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MC, LPC, LISAC

Contact information

Practice address
1325 STEINWAY DR, WICKENBURG, AZ 85390-3184
(928) 231-3193
(928) 684-4442
Mailing address
1325 STEINWAY DR, WICKENBURG, AZ 85390-3184
(928) 231-3193
(928) 684-4442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-1689
AZ
101YP2500X
Professional Counselor
Primary
LPC-10528
AZ

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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