Individual
DANIEL DOUGLAS HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2148 VADALABENE DR, MARYVILLE, IL 62062-5632
(618) 288-3100
Mailing address
111 N 9TH ST, MASCOUTAH, IL 62258-1117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27213
IL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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