Timothy J Butler, L.P.C.C.
Counselor, Professional in Sylvania, OH. Individual provider (NPI-1).
NPI number1174622047
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174622047
- Entity type
- Individual (NPI-1)
- Name
- Timothy J Butler
- Credential
- L.P.C.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E3664 | OH | Yes |
Practice location
5600 Monroe StSuite 103b
Sylvania, OH 43560-2731
Phone 419-885-5952 · Fax 419-885-7630
Mailing address
5600 Monroe StSuite 103b
Sylvania, OH 43560-2731
Phone 419-885-5952 · Fax 419-885-7630
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