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Individual

MRS. CRYSTAL ANN BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579
Mailing address
501 MOONBEAM LN, GRANTS PASS, OR 97527-9026
(541) 476-2980

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/06/2013
Last updated
09/06/2013
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