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Individual

MR. DAVID JOSEPH BUTLER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISAC

Contact information

Practice address
4341 S HIGHWAY 92, SUITE F, SIERRA VISTA, AZ 85650-9399
(520) 803-7500
(520) 803-7512
Mailing address
4341 S HIGHWAY 92, SUITE F, SIERRA VISTA, AZ 85650-9399
(520) 803-7500
(520) 803-7512

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10380
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
911512
CHS
AZ
01
AZ0420540
BCBS
AZ
Enumeration date
10/11/2006
Last updated
07/08/2007
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