Individual
KRIS JABORI BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MHP
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8452
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8452
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
03/31/2016
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