Individual
MRS. MERCEDEZ BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC, PS
Contact information
Practice address
4810 S 76TH ST STE 210, GREENFIELD, WI 53220-4356
(414) 286-9055
Mailing address
PO BOX 511402, MILWAUKEE, WI 53203-0241
(414) 286-9055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16431-131
WI
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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