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Khala Butler

Peer Specialist in San Bernardino, CA. Individual provider (NPI-1).

NPI number1306201702
StatusActive
Last updated in NPPESJan 4, 2016

Details

NPI
1306201702
Entity type
Individual (NPI-1)
Name
Khala Butler
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2015
Last updated
Jan 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

572 N Arrowhead Ave
#200
San Bernardino, CA 92401-1251

Phone 909-913-2992

Mailing address

572 N Arrowhead Ave
#200
San Bernardino, CA 92401-1251

Phone 909-913-2992

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