Healthcare Provider Details

I. General information

NPI: 1528139946
Provider Name (Legal Business Name): CYNTHIA HUTCHINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 POLY DR
BILLINGS MT
59102-1739
US

IV. Provider business mailing address

PO BOX 20054
BILLINGS MT
59104-0054
US

V. Phone/Fax

Practice location:
  • Phone: 406-657-1049
  • Fax:
Mailing address:
  • Phone: 406-657-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number188LCPC
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8038
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: