Individual
LINDA SUSAN BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1114 N FULTON ST, WHARTON, TX 77488-3128
(979) 282-8100
(979) 282-8103
Mailing address
1114 N FULTON ST, WHARTON, TX 77488-3128
(979) 282-8100
(979) 282-8103
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
200938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200672802
—
TX
Enumeration date
03/11/2009
Last updated
09/19/2012
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