| NPI | 1497052005 |
|---|---|
| Former Name | ANGELA PEAVY-BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2329) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1021) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 1043) | |
| 101YM0800X Counselor, Mental Health (Licence: KS 2506) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1052) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2014) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 001340) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 536) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2017-02-22 |