Individual
DUSTIN SHANE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
273 W MAIN ST, COVINGTON, VA 24426-1542
(540) 965-6468
(540) 965-9268
Mailing address
273 W MAIN ST, COVINGTON, VA 24426-1542
(540) 965-6468
(540) 965-9268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013360
VA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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