Provider Demographics
NPI:1013370212
Name:BUTAWAN, ASHLEY MARIE (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:BUTAWAN
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2003
Mailing Address - Country:US
Mailing Address - Phone:828-458-0586
Mailing Address - Fax:828-544-1201
Practice Address - Street 1:19 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2003
Practice Address - Country:US
Practice Address - Phone:828-458-0586
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-22172101YA0400X
NC12157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)