Provider Demographics
NPI:1710279302
Name:BUTTS, LINDA CHRISTINE (LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:BUTTS
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51596
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82605-1596
Mailing Address - Country:US
Mailing Address - Phone:307-333-2359
Mailing Address - Fax:307-333-2360
Practice Address - Street 1:411 S WALSH DR
Practice Address - Street 2:SUITE 135A
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2306
Practice Address - Country:US
Practice Address - Phone:307-333-2359
Practice Address - Fax:307-333-2360
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-14
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYWY LPC 495101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY133604500Medicaid