Individual
MATTIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
5915 GETWELL RD BLDG B, SOUTHAVEN, MS 38672-6455
(662) 349-2979
(662) 349-2978
Mailing address
5915 GETWELL RD BLDG B, SOUTHAVEN, MS 38672-6455
(662) 349-2979
(662) 349-2978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-0619
MS
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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