Individual
BIANCA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2068 SITSER LN, ATLANTA, GA 30349-6927
(470) 562-9775
Mailing address
2068 SITSER LN, ATLANTA, GA 30349-6927
(404) 668-8035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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