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Organization
DR TRACY HUTCHINSON LLC
Active
Organization
DR TRACY HUTCHINSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY HUTCHINSON PH.D., LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(239) 931-4444
Entity
Organization
Contact information
Practice address
1342 COLONIAL BV, BUILDING F, STE 41A, FORT MYERS, FL 33907
(239) 931-4444
Mailing address
1342 COLONIAL BV, BUILDING F, STE 41A, FORT MYERS, FL 33907
(239) 931-4444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0004240
NY
101YM0800X
Mental Health Counselor
Primary
13596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12250153
CAQH
FL
Enumeration date
12/10/2015
Last updated
12/10/2015
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