Provider Demographics
NPI:1922398817
Name:BUTLER, CATHERINE COXE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:COXE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 WRIGHTSVILLE AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3051
Mailing Address - Country:US
Mailing Address - Phone:910-833-8370
Mailing Address - Fax:910-833-8371
Practice Address - Street 1:2202 WRIGHTSVILLE AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3051
Practice Address - Country:US
Practice Address - Phone:910-833-8370
Practice Address - Fax:910-833-8371
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8742101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12639529OtherCAQH