Individual provider · Type 1 NPI
Theadora Jean Butler
Mental Health Counselor · Kalispell, MT
NPI number
1679417562
Active
Practice location
748 Willow Glen Dr
Kalispell, MT 59901-5170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BBH-LCSW-LIC-88204 (MT) |
Mental Health Counselor: Definition to come...
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About NPI 1679417562
Theadora Jean Butler's National Provider Identifier is 1679417562, issued on Apr 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kalispell, MT. The record was last updated on Apr 20, 2026.