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NPI Code Detail

MEDICARE: JENIFER BUTERA LMFT

MEDICARE:   JENIFER  BUTERA  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC39219CA

General Provider Information

NPI Number : 1982925616
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER BUTERA LMFT
Provider Business Mailing Address
First Line : 1260 LAKE BLVD
Second Line : SUITE 242
City : DAVIS
State : CA
Zip : 95616-2614
Country : US
Telephone Number : 530-771-2308
Fax Number : 530-771-2309
Provider Business Practice Location Address
First Line : 1260 LAKE BLVD
Second Line : SUITE 242
City : DAVIS
State : CA
Zip : 95616-2614
Country : US
Telephone Number : 530-771-2308
Fax Number : 530-771-2309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 02/11/2022

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Directions to “ JENIFER BUTERA LMFT” Practice Location

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