Individual provider · Type 1 NPI
Jody M. Buttram, LPC MHSP, LMFT, NCC
Mental Health Counselor · Daytona Beach, FL
NPI number
1982086203
Active
Practice location
340 S Beach St Ste 202
Daytona Beach, FL 32114-5079
Mailing address
144 Huckleberry Branch Ct
Daytona Beach, FL 32124-3629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 3342 (TN) |
| Marriage & Family Therapist | 106H00000X | 1281 (TN) |
| Marriage & Family Therapist | 106H00000X | 4102 (FL) |
| Mental Health Counselor Primary | 101YM0800X | 19335 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1982086203
Jody M. Buttram, LPC MHSP, LMFT, NCC's National Provider Identifier is 1982086203, issued on Jun 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Daytona Beach, FL. The record was last updated on Apr 9, 2022.