Individual
SHIRLEY RAE BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
1821 UNIVERSITY AVE W, SUITE N-385, SAINT PAUL, MN 55104-3489
(612) 326-7571
(651) 647-9147
Mailing address
1821 UNIVERSITY AVE W, SUITE N-385, SAINT PAUL, MN 55104-3489
(612) 326-7571
(651) 647-9147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303272
MN
101YM0800X
Mental Health Counselor
Primary
CC01420
MN
Other
Enumeration date
02/06/2013
Last updated
08/06/2019
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