Healthcare Provider Details

I. General information

NPI: 1578692364
Provider Name (Legal Business Name): MRS. KARYN JILL HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1937 W CHAPMAN AVE STE 210
ORANGE CA
92868-2607
US

IV. Provider business mailing address

1937 W CHAPMAN AVE STE 210
ORANGE CA
92868-2607
US

V. Phone/Fax

Practice location:
  • Phone: 714-385-5260
  • Fax:
Mailing address:
  • Phone: 714-385-5260
  • Fax:

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: