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Individual

BRYAN LYNN BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LCDC

Contact information

Practice address
308 E RENFRO ST, SUITE 202, BURLESON, TX 76028-3941
(817) 295-8708
Mailing address
308 E RENFRO ST, SUITE 202, BURLESON, TX 76028-3941
(817) 295-8708

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11923
TX
101YP2500X
Professional Counselor
Primary
71720
TX

Other

Enumeration date
03/10/2016
Last updated
03/10/2016
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