Provider Demographics
NPI:1700032034
Name:BUTLER, MARY MARGARET (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:MARGARET
Last Name:BUTLER
Suffix:
Gender:F
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:PO BOX 5091
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93278-5091
Mailing Address - Country:US
Mailing Address - Phone:559-747-0115
Mailing Address - Fax:559-747-0295
Practice Address - Street 1:2637 W BURREL AVE
Practice Address - Street 2:VISALIA
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93278
Practice Address - Country:US
Practice Address - Phone:559-747-0115
Practice Address - Fax:559-747-0295
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC48757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist