Provider Demographics
NPI:1730494121
Name:BUTLER, LINNEA COOKE (LMFT)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:COOKE
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 1:1925 WINCHESTER BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1038
Mailing Address - Country:US
Mailing Address - Phone:650-804-0850
Mailing Address - Fax:
Practice Address - Street 1:1925 WINCHESTER BLVD STE 204
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1038
Practice Address - Country:US
Practice Address - Phone:650-804-0850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF68515106H00000X
CA83313106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist