National Provider Identifier

Jared Butler

Jared Butler is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 241-1987.

NPI 1952755647Rochester, NYPeer Specialist

Profile Overview

NPI
1952755647
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
April 19, 2016
Last Updated
April 19, 2016

Practice Location

  • 1111 Elmwood Ave
  • Rochester, NY 14620-3005

Phone: (585) 241-1987

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1952755647
Entity Type
Individual
Last Name
Butler
First Name
Jared
Mailing Street Address
1111 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3005
Mailing Country
US
Mailing Phone
(585) 241-1987
Practice Street Address
1111 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3005
Practice Country
US
Practice Phone
(585) 241-1987
Enumeration Date
April 19, 2016
Last Updated
April 19, 2016
Sex
Male
Sole Proprietor
Yes
Taxonomies
Peer Specialist (175T00000X)