Individual
MR. VERNON NELSON BUTLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
Mailing address
6425 NW CACHE RD, LAWTON, OK 73505-3390
(580) 495-5573
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1308
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2016
Last updated
09/23/2020
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