Dancing Ember Butler
Counselor, Mental Health in Mount Shasta, CA. Individual provider (NPI-1).
NPI number1225580905
StatusActive
Last updated in NPPESOct 28, 2016
Details
- NPI
- 1225580905
- Entity type
- Individual (NPI-1)
- Name
- Dancing Ember Butler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2016
- Last updated
- Oct 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
301 Chestnut StMount Shasta, CA 96067-2214
Phone 530-926-1436 · Fax 530-926-2305
Mailing address
301 Chestnut StMount Shasta, CA 96067-2214
Phone 530-926-1436 · Fax 530-926-2305
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All 57 Mental Health Counselor providers in Mount Shasta · All 273 providers in Mount Shasta
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