Individual
JODY L BUTLER
Active
Individual
JODY L BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000000268
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000004599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDC0000000268
STATE LICENSE
TN
01
—
LSW0000004599
STATE LICENSE
TN
Enumeration date
03/15/2006
Last updated
10/23/2009
Update your record
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