Individual
MS. TINA MARIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 E UNION AVE, BOUND BROOK, NJ 08805
(732) 469-7899
Mailing address
217 LEXINGTON BLVD, APT 25, CLARK, NJ 07066
(908) 590-4794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC000281300
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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