Individual
INGRID BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
13001 RAMONA BLVD STE E, IRWINDALE, CA 91706-3752
(562) 233-0777
Mailing address
13001 RAMONA BLVD STE E, IRWINDALE, CA 91706-3752
(626) 214-9016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
01/04/2024
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