Individual
MR. MICAH JON HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
(334) 279-7830
(334) 270-1647
Mailing address
208 KOPECKY RD, SELMA, AL 36701-6923
(334) 310-1431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05074
AL
183700000X
Pharmacy Technician
T21263
AL
Other
Enumeration date
06/12/2022
Last updated
11/13/2023
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