Healthcare Provider Details

I. General information

NPI: 1043516586
Provider Name (Legal Business Name): JANICE MARIE HUTCHASON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 2ND ST STE 406
HENDERSON KY
42420-3174
US

IV. Provider business mailing address

235 OAK DR
OWENSBORO KY
42303-9726
US

V. Phone/Fax

Practice location:
  • Phone: 270-826-8761
  • Fax:
Mailing address:
  • Phone: 270-302-1079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number103867
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: