Individual
MATTHEW BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
260 N WYCOMBE AVE, LANSDOWNE, PA 19050-1643
(484) 350-9919
Mailing address
260 N WYCOMBE AVE, LANSDOWNE, PA 19050-1643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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