Individual
JADE EVA REYNOLDS BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
703 NASH ST W, SUITE D, WILSON, NC 27893-3058
(252) 902-7799
(252) 260-5727
Mailing address
703 NASH ST W, SUITE D, WILSON, NC 27893-3058
(252) 902-7799
(252) 260-5727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1685
NC
101YP2500X
Professional Counselor
A8767
NC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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