Provider Demographics
NPI:1043474455
Name:BUTTON, LOREEN D (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:LOREEN
Middle Name:D
Last Name:BUTTON
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 WHISTLER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-3459
Mailing Address - Country:US
Mailing Address - Phone:210-373-9052
Mailing Address - Fax:
Practice Address - Street 1:8546 BROADWAY ST
Practice Address - Street 2:SUITE 113
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6376
Practice Address - Country:US
Practice Address - Phone:210-373-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203055301Medicaid