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General NPI Number Information
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NPI Number | 1578101622
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Entity Type | Individual
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Provider Name | PRETINA LAROSA HUTCHINSON MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-4203
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Country | US
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Telephone | 352-265-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 COLLEY RD
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City | STARKE
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State | FL
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Zip | 32091-4203
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Country | US
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Telephone | 352-792-4241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH23150
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License Number State | FL
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