Carrie Butler, CCSS
Counselor in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1164092474
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092474
- Entity type
- Individual (NPI-1)
- Name
- Carrie Butler
- Credential
- CCSS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 2779 | MS | Yes |
Practice location
110 Patton AveHattiesburg, MS 39401-6155
Phone 601-582-1111 · Fax 601-450-0765
Mailing address
Po Box 18679Hattiesburg, MS 39404-8679
Phone 601-705-1901 · Fax 604-705-1952
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All 111 Counselor providers in Hattiesburg · All 3,372 providers in Hattiesburg
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