Provider Information for 1366817561
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JANELLE BUTLER
Sex: Female
NPI: 1366817561
Last Updated: 2024-11-01
Certification Date: 2024-11-01
Certification Date: 2024-11-01
Details
Name | Value | ||||||||||||
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NPI | 1366817561 | ||||||||||||
Enumeration Date | 2015-12-14 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1600 E OLIVE ST SOUND MENTAL HEALTH SEATTLE, WA 98122-2735 United States Phone: 206-302-2200 | Fax:206-302-2210 | ||||||||||||
Primary Practice Address | 600 BROADWAY STE 170 SEATTLE, WA 98122-5332 United States Phone: 206-302-2600 | Fax:206-302-2610 | ||||||||||||
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