Healthcare Provider Details

I. General information

NPI: 1467007294
Provider Name (Legal Business Name): REBECCA BRIDGES HUTCHINSON M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALAMO HEIGHTS COUNSELING, INC. 900 NE LOOP 410, SUITE D200
SAN ANTONIO TX
78209-1407
US

IV. Provider business mailing address

6023 HEMATITE RIM
SAN ANTONIO TX
78222-4155
US

V. Phone/Fax

Practice location:
  • Phone: 210-822-2600
  • Fax: 210-822-2685
Mailing address:
  • Phone: 210-313-2311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number78489
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: