Individual
STANNIRA KIANCA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 HOMESTEAD RD N, LEHIGH ACRES, FL 33936-4830
(239) 491-8092
Mailing address
1130 FLORIDA AVE, CLEWISTON, FL 33440-5656
(863) 599-1904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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