Dedra Buteyn, LPC-IT

Professional Counselor · Appleton, WI

Individual Active NPI

NPI number 1104689736

Practice location

626 E Longview Dr
Appleton, WI 54911-2130
Phone
(920) 215-0107

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NPI record

NPI
1104689736
Entity type
Individual (Type 1)
Enumeration date
February 5, 2024
Last updated
May 6, 2026
Certified
May 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 7067-226 WI

Mailing address

W5457 Red Clover Trl
Appleton, WI 54915-7291
Phone
(920) 470-5407

About Dedra Buteyn

Dedra Buteyn, LPC-IT is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 626 E Longview Dr, Appleton, WI 54911-2130. The NPI number 1104689736 was assigned on February 5, 2024 and the record was last updated on May 6, 2026.

Dedra Buteyn lists a license in the registry: #7067-226 (WI) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dedra Buteyn, LPC-IT?

The NPI number is 1104689736.

What is the phone number of Dedra Buteyn?

The phone number listed for the practice location is (920) 215-0107.

Where is Dedra Buteyn located?

626 E Longview Dr, Appleton, WI 54911-2130.

What is the taxonomy code for Dedra Buteyn?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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