Individual provider · Type 1 NPI

Dancing Ember Butler

Mental Health Counselor · Mount Shasta, CA

NPI number 1225580905 Active

Practice location

301 Chestnut St
Mount Shasta, CA 96067-2214

Call (530) 926-1436 Map

Fax (530) 926-2305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225580905

Dancing Ember Butler's National Provider Identifier is 1225580905, issued on Oct 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Shasta, CA. The record was last updated on Oct 28, 2016.