Individual
EDEN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S DAVID LN, KNOXVILLE, TN 37922-3203
(865) 407-0071
Mailing address
112 S DAVID LN, KNOXVILLE, TN 37922-3203
(865) 407-0071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5335
TN
Other
Enumeration date
01/23/2019
Last updated
03/03/2021
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