Provider Demographics
NPI:1255801221
Name:BUTLER, SARAH RACHAEL (MA, LPCC 5457)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RACHAEL
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MA, LPCC 5457
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 CHENERY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3034
Mailing Address - Country:US
Mailing Address - Phone:415-894-9476
Mailing Address - Fax:
Practice Address - Street 1:676 CHENERY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3034
Practice Address - Country:US
Practice Address - Phone:415-894-9476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health