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Individual

ALYSSA BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

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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