Individual
MR. JONATHAN JAMES BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
(208) 733-7178
Mailing address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
(208) 733-7178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30962
ID
Other
Enumeration date
05/21/2009
Last updated
12/22/2010
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