Butler, Jewel Rayshella

Butler, Jewel Rayshella is an individual health care provider with primary practice located at 853 Wake Forest Business Park Suite I, Wake Forest NC 27587-6522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Butler, Jewel Rayshella can be contacted via phone (919) 455-5733.

Contact Information

Primary practice address
853 Wake Forest Business Park Suite I Wake Forest NC 27587-6522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5075 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5075 North Carolina

Profile Details

NPI number 1407967664
LBN Legal business name Butler, Jewel Rayshella
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 14th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407967664 NPPES
North Carolina Other 8521 5 COUNTY MENTAL HLTH AUTH
North Carolina MEDICAID 6103134 5 COUNTY MENTAL HLTH AUTH
North Carolina Other 14142 5 COUNTY MENTAL HLTH AUTH

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