Butera, Jacqueline Lee

Butera, Jacqueline Lee is an individual health care provider with primary practice located at 1200 W Ironwood Dr Suite 101, Coeur D Alene ID 83814-2660. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Butera, Jacqueline Lee can be contacted via phone (208) 664-9729.

Contact Information

Primary practice address
1200 W Ironwood Dr Suite 101 Coeur D Alene ID 83814-2660
Phone: (208) 664-9729
Fax: (208) 263-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC3268 Idaho

Profile Details

NPI number 1033325543
LBN Legal business name Butera, Jacqueline Lee
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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