Individual
AMANDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9035 S 1300 E STE 120, SANDY, UT 84094-3192
(801) 455-0045
Mailing address
2650 E 3300 S APT 1, SALT LAKE CITY, UT 84109-2711
(801) 808-5290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11753608-3904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11753608-3904
DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
UT
Enumeration date
08/17/2020
Last updated
08/17/2020
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