Individual
MINDY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
82 MAIN STREET 5B, BRIDGTON, ME 04009
(207) 595-5159
(207) 333-3037
Mailing address
PO BOX 61, BRIDGTON, ME 04009
(207) 595-5159
(207) 803-8664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5752
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6339
ME
101YP2500X
Professional Counselor
Primary
CC5056
ME
101YP2500X
Professional Counselor
XL4553
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XL4553
LICENSED CLINICAL PROFESSIONAL COUNSELOR CONDITIONAL
ME
Enumeration date
03/13/2015
Last updated
09/20/2024
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