person
Jackie M Butler, CCS
Addiction (Substance Use Disorder) Counselor in High Point, North Carolina
NPI 1033237961

Jackie M Butler is an Addiction (Substance Use Disorder) Counselor based in High Point, NC and is specialized in Addiction (Substance Use Disorder). Jackie M Butler practices in High Point, NC and has the professional credentials of CCS. The NPI Number for Jackie M Butler is 1033237961 and holds a License No. 153 (North Carolina).

The current practice location address for Jackie M Butler is 5209 W Wendover Ave, High Point, NC and can be reached out via phone at 336-812-8645 and via fax at 336-812-8652.

Location: 5209 W Wendover Ave, High Point, NC, 27265-9515
person
Provider Profile Details
NPI Number
1033237961
Provider Name
Jackie M Butler
Credential
CCS
Provider Entity Type
Individual
Gender
Female
Address
5209 W Wendover Ave, High Point, NC, 27265-9515
Phone Number
336-812-8645
Fax Number
336-812-8652
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6110523 05 NC
institution
Provider Business Practice Location Address Details
Address
5209 W Wendover Ave
City
State
Zip
27265-9177
Phone Number
336-812-8645
Fax Number
336-812-8652
person
Provider Business Mailing Address Details
Address
5209 W Wendover Ave
City
State
Zip
27265-9177
Phone Number
336-812-8645
Fax Number
336-812-8652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
153 (North Carolina)
Definition
Definition to come...
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