SearchOklahoma101YP2500X

Jacob Butler, LPC

NPI 1184176091 · on the registry since 2016 · sole proprietor

Practice

Address
100 Division St
Canadian, OK 74425
Phone
(405) 430-3030

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
171100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma