Individual
DR. KENNETH MICHAEL NUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC
Contact information
Practice address
230 TAMIAMI TRL S, SUITE 3, VENICE, FL 34285-2453
(941) 375-5222
(941) 460-5109
Mailing address
516 CENTER RD, VENICE, FL 34285-4803
(941) 375-5222
(941) 460-5109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 5058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767676000
—
FL
Enumeration date
11/16/2006
Last updated
12/28/2010
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