Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dedra Buteyn, LPC-IT

Individual provider Professional Counselor · NPI 1104689736

Dedra Buteyn, LPC-IT is a Professional Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

626 E Longview Dr
Appleton, WI 54911-2130
Phone: (920) 215-0107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7067-226 (WI)

Record details

NPI number1104689736
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing addressW5457 Red Clover Trl, Appleton, WI 54915-7291

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