Provider Demographics
NPI:1760969745
Name:BUTLER, LOIS YVETTE (MA, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:YVETTE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 PIONEER MESA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-8795
Mailing Address - Country:US
Mailing Address - Phone:719-229-0229
Mailing Address - Fax:
Practice Address - Street 1:7750 N UNION BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4081
Practice Address - Country:US
Practice Address - Phone:719-380-1644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0107012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional