Provider Demographics
NPI:1689864217
Name:BUETTNER, CHRISTOPHER PAUL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:BUETTNER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 N MIDVALE BLVD
Mailing Address - Street 2:SUITE #5
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-5000
Mailing Address - Country:US
Mailing Address - Phone:608-233-7311
Mailing Address - Fax:
Practice Address - Street 1:222 N MIDVALE BLVD
Practice Address - Street 2:SUITE #5
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-5000
Practice Address - Country:US
Practice Address - Phone:608-233-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI738-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist