Provider Demographics
NPI:1407168651
Name:BUTLER, APRIL ALICE (CPCI)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ALICE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-2744
Mailing Address - Country:US
Mailing Address - Phone:435-840-5093
Mailing Address - Fax:435-882-7330
Practice Address - Street 1:312 S MAIN ST
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-2746
Practice Address - Country:US
Practice Address - Phone:435-882-7330
Practice Address - Fax:435-882-7330
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7256343-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health