Individual provider · Type 1 NPI

Ellis Ray Butler Ii, LCAS-A

Addiction (Substance Use Disorder) Counselor · Statesville, NC

NPI number 1124544457 Active

Practice location

536 Signal Hill Drive Ext
Statesville, NC 28625-4391

Mailing address

521 Montgrove Pl NW
Concord, NC 28027-6554

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS20060 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124544457

Ellis Ray Butler Ii, LCAS-A's National Provider Identifier is 1124544457, issued on Aug 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Statesville, NC. The record was last updated on Aug 18, 2017.