Healthcare Provider Details

I. General information

NPI: 1457342271
Provider Name (Legal Business Name): DAVID ALLAN HUTCHINS L.M.H.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N HOWARD ST
SPOKANE WA
99201-2410
US

IV. Provider business mailing address

7205 N SKYKOMISH ST
SPOKANE WA
99208-9020
US

V. Phone/Fax

Practice location:
  • Phone: 509-467-7913
  • Fax: 509-467-0344
Mailing address:
  • Phone: 509-327-4394
  • Fax: 509-467-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00003557
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: