Individual
THEADORA JEAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 WILLOW GLEN DR, KALISPELL, MT 59901-5170
(406) 212-5200
Mailing address
748 WILLOW GLEN DR, KALISPELL, MT 59901-5170
(406) 212-5200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCSW-LIC-88204
MT
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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