Individual
MARY ELLEN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Mailing address
1959 MYERS RD, ORANGEBURG, SC 29115-5240
(919) 210-8455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13660
NC
Other
Enumeration date
02/28/2018
Last updated
03/18/2020
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