Healthcare Provider Details

I. General information

NPI: 1508996661
Provider Name (Legal Business Name): LAURIE ANN DUTTON MA, LPC, LCADC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURIE DUTTON MARKON MA, LAC

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SHORE DR
CAPE MAY NJ
08204-2230
US

IV. Provider business mailing address

501 SHORE DR
CAPE MAY NJ
08204-2230
US

V. Phone/Fax

Practice location:
  • Phone: 609-225-4512
  • Fax:
Mailing address:
  • Phone: 609-225-4512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00154600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00377700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: