Individual provider · Type 1 NPI
Dedra Buteyn, LPC-IT
Professional Counselor · Appleton, WI
NPI number
1104689736
Active
Practice location
626 E Longview Dr
Appleton, WI 54911-2130
Mailing address
W5457 Red Clover Trl
Appleton, WI 54915-7291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7067-226 (WI) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1104689736
Dedra Buteyn, LPC-IT's National Provider Identifier is 1104689736, issued on Feb 5, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Appleton, WI. The record was last updated on May 6, 2026.