Individual
ALYSSA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1409 ZEPOL RD APT 110, SANTA FE, NM 87507
(847) 420-1897
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH0217651
NM
101YM0800X
Mental Health Counselor
T-CL0196401
NM
101YM0800X
Mental Health Counselor
T-CTL0196401
NM
101YP2500X
Professional Counselor
Primary
CCMH0217651
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/07/2017
Last updated
11/02/2023
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