Most Relevant Information
Provider Data
| NPI Number: | 1003000506 |
| Provider Name: | KEISHA L. BUTLER M.A., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 19723 |
Most Important Dates
| Enumeration Date: | 08/28/2007 |
| Last Updated: | 08/28/2007 |
Provider Practice Location
100 N CENTRAL EXPY
SUITE 400-8
DALLAS
TX
752014312
Practice Location Phone/Fax
| Phone: | 2142987647 |
| Fax: | 4692274251 |
Provider Mailing Location
100 N CENTRAL EXPY
SUITE 400-8
DALLAS
TX
752014312
Provider Mailing Phone/Fax
| Phone: | 2142987647 |
| Fax: | 4692274251 |