Jackie M Butler in High Point - Addiction (substance Use Disorder)

Jackie M Butler - NPI 1033237961

Jackie M Butler is a Addiction (substance Use Disorder) in High Point, North Carolina. Jackie M Butler practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jackie M Butler is 1033237961. The last update date is 2007-07-09.

Jackie M Butler's current location address is 1404 Heatherbrook Dr, High Point, North Carolina. You can contact this provider via phone number 3368800642. The mailing address for Jackie M Butler is 1404 Heatherbrook Dr, High Point, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie M Butler
Address 1404 Heatherbrook Dr, High Point, North Carolina
Phone Number 3368800642
Fax Number
Sole Proprietor N
Credentials CCS

NPI Number Detail

NPI Number 1033237961
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1404 Heatherbrook Dr
City High Point
State North Carolina (NC)
Post Code 272659515
Phone Number 3368800642
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 153
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6110523 NC --

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FAQs about Jackie M Butler

What is the Jackie M Butler's unique identification number?

The Jackie M Butler has been assigned the NPI (National Provider Identifier) Number 1033237961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jackie M Butler?

The Jackie M Butler is physically situated at 1404 Heatherbrook Dr, in the city of High Point, state of NC, with the postal code 272659515.

What is the area of specialization for Jackie M Butler, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jackie M Butler is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

When did the Jackie M Butler receive its 1033237961?

The Jackie M Butler was issued its 1033237961 on 2007-03-27, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Jackie M Butler last refreshed?

The information related to the Jackie M Butler, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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