Individual
BERNARD BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85222-2514
(520) 836-1688
(520) 876-1796
Mailing address
265 N GILBERT RD, #1052, MESA, AZ 85203-8248
(480) 251-6865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC-10497
LISAC
AZ
Enumeration date
10/26/2006
Last updated
07/08/2007
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