Provider Demographics
NPI:1053646059
Name:HUTTON COBB, HANNAH RACHEL HUTTON (LAPC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH RACHEL
Middle Name:HUTTON
Last Name:HUTTON COBB
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CITY HALL DR
Mailing Address - Street 2:
Mailing Address - City:FT OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:30742-7802
Mailing Address - Country:US
Mailing Address - Phone:706-861-3387
Mailing Address - Fax:706-638-5541
Practice Address - Street 1:700 CITY HALL DR
Practice Address - Street 2:
Practice Address - City:FT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-7802
Practice Address - Country:US
Practice Address - Phone:706-861-3387
Practice Address - Fax:706-638-5541
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC002396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional