Individual provider · Type 1 NPI

Jacqueline Lee Butera, MA, LPC

Mental Health Counselor · Coeur D Alene, ID

NPI number 1033325543 Active

Practice location

1200 W Ironwood Dr, Suite 101
Coeur D Alene, ID 83814-2660

Call (208) 664-9729 Map

Fax (208) 263-7515

Mailing address

5486 N Martha Loop
Coeur D Alene, ID 83815-9143

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC3268 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1033325543

Jacqueline Lee Butera, MA, LPC's National Provider Identifier is 1033325543, issued on May 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.