MEDICARE: ERICA HUTCHISON LPC, RPT

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
1	101YM0800X	Mental Health Counselor	P0906036	AR

General Provider Information

NPI Number	:	1346491321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA HUTCHISON LPC, RPT

Provider Business Mailing Address
First Line	:	2320 BROOKHAVEN DR
Second Line	:
City	:	ALMA
State	:	AR
Zip	:	72921-5047
Country	:	US
Telephone Number	:	479-274-8132
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 S WALDRON RD STE 314C
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3692
Country	:	US
Telephone Number	:	479-274-8132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	08/29/2012

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