Jessica C Butler

Individual provider Active NPI Mental Health Counselor · Stanton, MI

NPI 1043953532 · NPPES record last updated Apr 14, 2022

Key facts

NPI
1043953532
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
611 N State St
Stanton, MI 48888-9702
Phone
(989) 831-7520
Fax
(989) 831-7578
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

611 N State St
Stanton, MI 48888-9702

Mailing address

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

Other providers in Stanton, MI

All providers in Stanton, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.