person
Mr. David Joseph Butler SR., LISAC
Addiction (Substance Use Disorder) Counselor in Sierra Vista, Arizona
NPI 1558459636

David Joseph Butler SR. is an Addiction (Substance Use Disorder) Counselor based in Sierra Vista, AZ and is specialized in Addiction (Substance Use Disorder). David Joseph Butler SR. practices in Sierra Vista, AZ and has the professional credentials of LISAC. The NPI Number for David Joseph Butler SR. is 1558459636 and holds a License No. LISAC-10380 (Arizona).

The current practice location address for David Joseph Butler SR. is 4341 S Highway 92, Sierra Vista, AZ and can be reached out via phone at 520-803-7500 and via fax at 520-803-7512. You can also correspond with David Joseph Butler SR. through the mailing address at 4341 S HIGHWAY 92, SIERRA VISTA, AZ - 85650-9399 (mailing address contact number: 520-803-7500).

Location: 4341 S Highway 92, Sierra Vista, AZ, 85650-9399
person
Provider Profile Details
NPI Number
1558459636
Provider Name
David Joseph Butler SR.
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
4341 S Highway 92, Sierra Vista, AZ, 85650-9399
Phone Number
520-803-7500
Fax Number
520-803-7512
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
911512 01 AZ CHS
911512 01 AZ AHCCCS
AZ0420540 01 AZ BCBS
institution
Provider Business Practice Location Address Details
Address
4341 S Highway 92
City
State
Zip
85650-9399
Phone Number
520-803-7500
Fax Number
520-803-7512
person
Provider Business Mailing Address Details
Address
4341 S Highway 92
City
State
Zip
85650-9399
Phone Number
520-803-7500
Fax Number
520-803-7512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-10380 (Arizona)
Definition
Definition to come...
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