Carla Knoll Butler, LCSW
Counselor, Mental Health in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1982172789
StatusActive
Last updated in NPPESNov 15, 2018
Details
- NPI
- 1982172789
- Entity type
- Individual (NPI-1)
- Name
- Carla Knoll Butler
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2018
- Last updated
- Nov 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0904010620 | VA | Yes |
Practice location
317 Office Square Ln Ste B101Virginia Beach, VA 23462-3652
Phone 757-403-0119
Mailing address
317 Office Square Ln Ste B101Virginia Beach, VA 23462-3652
Phone 757-403-0119
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