Individual
KAYLA HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-INTERN
Contact information
Practice address
519 E QUINCY ST, SAN ANTONIO, TX 78215-1632
(210) 299-1614
(210) 299-4595
Mailing address
519 E QUINCY ST, SAN ANTONIO, TX 78215-1632
(210) 299-1614
(210) 299-4595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
57308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000043
OTP
TX
Enumeration date
12/23/2021
Last updated
12/23/2021
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