Thomas R Butler, LPCC Valid NPI
Individual provider · Mental Health Counselor · Lino Lakes, MN
- NPI
- 1104531904
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- CC02978 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-01-17
- Last updated
- 2023-01-17
Practice location
698 Highland Ct
Lino Lakes, MN 55014-2451
(651) 706-4290