Individual
SHANTEL MURICE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1221 EVERGREEN TRL, HINESVILLE, GA 31313-8365
(912) 844-0360
Mailing address
1221 EVERGREEN TRL, HINESVILLE, GA 31313-8365
(912) 844-0360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ACP009604
GA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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