person
Ellis Ray Butler II, LCAS-A
Addiction (Substance Use Disorder) Counselor in Statesville, North Carolina
NPI 1124544457

Ellis Ray Butler II is an Addiction (Substance Use Disorder) Counselor based in Concord, NC and is specialized in Addiction (Substance Use Disorder). Ellis Ray Butler II practices in Statesville, NC and has the professional credentials of LCAS-A. The NPI Number for Ellis Ray Butler II is 1124544457 and holds a License No. LCAS20060 (North Carolina).

The current practice location address for Ellis Ray Butler II is 536 Signal Hill Drive Ext, Statesville, NC and can be reached out via phone at 704-872-0234.

Location: 536 Signal Hill Drive Ext, Statesville, NC, 28027-6554
person
Provider Profile Details
NPI Number
1124544457
Provider Name
Ellis Ray Butler II
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
536 Signal Hill Drive Ext, Statesville, NC, 28027-6554
Phone Number
704-872-0234
Fax Number
Provider Enumeration Date
08/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
536 Signal Hill Drive Ext
City
State
Zip
28625-4391
Phone Number
704-872-0234
Fax Number
person
Provider Business Mailing Address Details
Address
536 Signal Hill Drive Ext
City
State
Zip
28625-4391
Phone Number
704-872-0234
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS20060 (North Carolina)
Definition
Definition to come...
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