Individual
MR. JACK A DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LBSW
Contact information
Practice address
217 E SANILAC RD, SANDUSKY, MI 48471-1383
(810) 583-0393
Mailing address
6780 UPPER RD, MARLETTE, MI 48453-9560
(989) 635-7852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401003332
MI
104100000X
Social Worker
Primary
6802035127
MI
Other
Enumeration date
09/25/2006
Last updated
09/11/2025
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