| NPI | 1134780158 |
|---|---|
| Former Legal Business Name | KRISTEN BUTLER, LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH KRISTEN SHUMAN Lpc/Owner 912-231-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-07-08 |