Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ELI BUTLER, LPC
Active Sole ProprietorJACOB ELI BUTLER, LPC is a Professional Counselor healthcare provider located in CANADIAN, Oklahoma. NPI 1184176091 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CANADIAN, OK
Registration Details
- NPI Number
- 1184176091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2016 (9.7818682109526 yrs)
- Last Updated
- Aug 19, 2021
- License
-
BACU03012013-1 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 DIVISION STCANADIAN, OK, 744259750Browse OK providers · Browse ZIP 74425
- Phone
- 4054303030
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.