Healthcare Provider Details

I. General information

NPI: 1801725106
Provider Name (Legal Business Name): CRAIG ANDREW BUTCHER AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 S 250 W STE 208
ST GEORGE UT
84770-6747
US

IV. Provider business mailing address

1173 S 250 W STE 208
ST GEORGE UT
84770-6747
US

V. Phone/Fax

Practice location:
  • Phone: 435-688-1111
  • Fax:
Mailing address:
  • Phone: 435-688-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number13670601-3904
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: