Individual
MS. CARMEN LYNN BUTCHER-HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
1601 E FOURTH PLAIN BLVD # A152, VANCOUVER, WA 98661-3713
(360) 397-8198
(360) 397-8276
Mailing address
300 SE 184TH AVE # C32, VANCOUVER, WA 98683-1928
(503) 890-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60947650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079492
—
WA
Enumeration date
02/11/2020
Last updated
11/27/2023
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