Butler, Robert O

Butler, Robert O is an individual health care provider with primary practice located at 2455 Bennett Valley Rd Ste C210 #224, Santa Rosa CA 95404-5671. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Butler, Robert O can be contacted via phone (707) 523-8009.

Contact Information

Primary practice address
2455 Bennett Valley Rd Ste C210 #224 Santa Rosa CA 95404-5671
Phone: (707) 523-8009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS7338 California

Profile Details

NPI number 1093718454
LBN Legal business name Butler, Robert O
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 30th, 2023 - about last year

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 1093718454 NPPES
California MEDICAID FHC70957F
California MEDICAID FHC03887F
California MEDICAID 1598786352
California MEDICAID 1356344758

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