Individual
PAUL J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
3740 E IDAHO ST, ELKO, NV 89801-4611
(775) 738-8004
(775) 738-2625
Mailing address
PO BOX 2580, ELKO, NV 89803-2580
(775) 738-8004
(775) 738-2625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01248-L
NV
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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