Jacqueline Denise Butler LCSW

NPI 1386782993 - Counselor - 101Y00000X

NPI Details
NPI 1386782993
Gender Female
Enumeration Date 02/03/2007
Last Updated 05/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
522 S INDEPENDENCE BLVD
STE 105
VIRGINIA BEACH VA, 23452-1149, US
Phone (757) 456-9205
Fax (757) 456-9209
Business Location
PO BOX 62331
VIRGINIA BEACH VA, 23466-2331, US
Phone (757) 456-9205
Fax (757) 456-9209
Toxanomy
Taxonomy Code 101Y00000X
License State Virginia
License Number 0904006406
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According to our database, Mrs. Jacqueline Denise Butler LCSW NPI is 1386782993, taxonomy code is 101Y00000X and license number is 0904006406, license state is located at Virginia. Jacqueline Denise Butler LCSW physically located at 522 S Independence Blvd, Virginia Beach VA, 23452-1149. NPI Number Jacqueline Denise Butler LCSW has the Individual type.

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1386782993 NPI number is provided on an as is basis without warranty of any kind. 1386782993 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Denise Butler LCSW are for informational purposes only.