Provider Demographics
NPI:1992827208
Name:BUTLER, DOROTHY (LMHC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3086 CRANBERRY HWY
Mailing Address - Street 2:
Mailing Address - City:EAST WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02538-4804
Mailing Address - Country:US
Mailing Address - Phone:508-295-7990
Mailing Address - Fax:508-295-3781
Practice Address - Street 1:3086 CRANBERRY HWY
Practice Address - Street 2:
Practice Address - City:EAST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-4804
Practice Address - Country:US
Practice Address - Phone:508-295-7990
Practice Address - Fax:508-295-3781
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1849101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)