Provider Demographics
NPI:1467900969
Name:BUTLER, REBECCA (MS, LPC, LCASA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MS, LPC, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 CHARLOTTE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1434
Mailing Address - Country:US
Mailing Address - Phone:828-214-5168
Mailing Address - Fax:
Practice Address - Street 1:242 CHARLOTTE ST STE 3
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1434
Practice Address - Country:US
Practice Address - Phone:828-214-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21804101YA0400X
NC11601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)