Individual
MS. PATRICE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
Mailing address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162
LA
101YP1600X
Pastoral Counselor
—
LA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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