Individual
KELLY LYNN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCPC, LADC
Contact information
Practice address
307 CONGRESS ST, PORTLAND, ME 04101-3638
(207) 871-7431
Mailing address
307 CONGRESS ST, PORTLAND, ME 04101-3638
(207) 871-7431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
ME
101YM0800X
Mental Health Counselor
Primary
—
ME
Other
Enumeration date
02/10/2008
Last updated
01/22/2020
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