Most Relevant Information
Provider Data
| NPI Number: | 1003300443 |
| Provider Name: | NIA BUTLER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2018 |
| Last Updated: | 06/19/2018 |
Provider Practice Location
361 JEFFER DR
WESTWEGO
LA
700942155
Practice Location Phone/Fax
| Phone: | 5046218813 |
| Fax: |
Provider Mailing Location
361 JEFFER DR
WESTWEGO
LA
700942155
Provider Mailing Phone/Fax
| Phone: | 5046218813 |
| Fax: |