Individual
JON BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4300 W 147TH ST., SUITE 204, APPLE VALLEY, MN 55124
(952) 997-3020
(952) 997-3026
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2361
MN
Other
Enumeration date
05/04/2014
Last updated
07/17/2014
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