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NPI Code Detail

MEDICARE: DOREEN HUTTON LPC

MEDICARE:   DOREEN  HUTTON  LPC
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
1101Y00000XCounselor13157TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27153LCOTHERTXBCBS

General Provider Information

NPI Number : 1033229018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOREEN HUTTON LPC
Provider Business Mailing Address
First Line : PO BOX 54136
Second Line :
City : LUBBOCK
State : TX
Zip : 79453-4136
Country : US
Telephone Number : 806-771-1386
Fax Number : 806-771-1388
Provider Business Practice Location Address
First Line : 3311 81ST ST STE K
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-2008
Country : US
Telephone Number : 806-239-3376
Fax Number : 806-771-1388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/22/2024

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