Provider Demographics
NPI:1083943500
Name:HUTCHINSON, KAREN JUDITH
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JUDITH
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 S RANCHO SANTA FE RD
Mailing Address - Street 2:APT. F
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4659
Mailing Address - Country:US
Mailing Address - Phone:858-414-1198
Mailing Address - Fax:
Practice Address - Street 1:918 S RANCHO SANTA FE RD
Practice Address - Street 2:APT. F
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4659
Practice Address - Country:US
Practice Address - Phone:858-414-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health