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1033237961
JACKIE M BUTLER
HIGH POINT, NC
NPI
1033237961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 153)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
-- JACKIE M BUTLER CCS
5209 W WENDOVER AVE
HIGH POINT, NC 27265-9177
Phone number: 336-812-8645
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Mailing Address
-- JACKIE M BUTLER CCS
1404 HEATHERBROOK DR
HIGH POINT, NC 27265-9515
Phone number: 336-880-0642
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