Healthcare Provider Details

I. General information

NPI: 1083943500
Provider Name (Legal Business Name): KAREN JUDITH HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 S RANCHO SANTA FE RD APT. F
SAN MARCOS CA
92078-4659
US

IV. Provider business mailing address

918 S RANCHO SANTA FE RD APT. F
SAN MARCOS CA
92078-4659
US

V. Phone/Fax

Practice location:
  • Phone: 858-414-1198
  • Fax:
Mailing address:
  • Phone: 858-414-1198
  • 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: