Individual provider · Type 1 NPI
Sydney Butler
Mental Health Counselor · Madison, MS
NPI number
1174361489
Active
Practice location
7570 Old Canton Rd Ste 102
Madison, MS 39110-6100
Mailing address
17 Bastille St
Brandon, MS 39047-8551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P-1179 (MS) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1174361489
Sydney Butler's National Provider Identifier is 1174361489, issued on Jul 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, MS. The record was last updated on Jul 19, 2024.