Healthcare Provider Details

I. General information

NPI: 1356141857
Provider Name (Legal Business Name): JANET F BUTTERS AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28999 OLD TOWN FRONT ST
TEMECULA CA
92590-5805
US

IV. Provider business mailing address

42630 CAMELOT RD
TEMECULA CA
92592-8005
US

V. Phone/Fax

Practice location:
  • Phone: 951-261-8392
  • Fax:
Mailing address:
  • Phone: 818-915-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: