Healthcare Provider Details

I. General information

NPI: 1417087685
Provider Name (Legal Business Name): KATE HUTCHINSON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 OAK AVE
DAVIS CA
95616-1003
US

IV. Provider business mailing address

1667 OAK AVE
DAVIS CA
95616-1003
US

V. Phone/Fax

Practice location:
  • Phone: 530-758-2160
  • Fax: 530-758-1386
Mailing address:
  • Phone: 530-758-2160
  • Fax: 530-758-1386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: