Individual
MARSHA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Mailing address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61238765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61238765
WA STATE CO 61238765
WA
Enumeration date
05/18/2022
Last updated
05/18/2022
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