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NPI Code Detail

MEDICARE: KATHRYN ANN SUTTON MA, LPC, NCC

MEDICARE:   KATHRYN ANN SUTTON  MA, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401009052MI

General Provider Information

NPI Number : 1275898876
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ANN SUTTON MA, LPC, NCC
Provider Business Mailing Address
First Line : 3500 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2402
Country : US
Telephone Number : 313-202-6106
Fax Number : 313-202-6152
Provider Business Practice Location Address
First Line : 3500 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2402
Country : US
Telephone Number : 313-202-6106
Fax Number : 313-202-6152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 07/10/2012

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Directions to “ KATHRYN ANN SUTTON MA, LPC, NCC” Practice Location

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