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Contact Information

KELLY L BUTLER, M.A., LCPC, LADC
307 CONGRESS ST
PORTLAND, ME04101-3638
 Phone: 207-871-7431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KELLY L BUTLER · (Female)

NPI Number 1699953885
Status Active
Credentials M.A., LCPC, LADC
Entity Individual
Enumeration date 02/10/2008
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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