Provider Demographics
NPI:1114124880
Name:HUTCHESON, CHRISTIAN LOVE (LPC-S, LMFT-S)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:LOVE
Last Name:HUTCHESON
Suffix:
Gender:F
Credentials:LPC-S, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E SOUTHLAKE BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6274
Mailing Address - Country:US
Mailing Address - Phone:817-296-2255
Mailing Address - Fax:
Practice Address - Street 1:211 E SOUTHLAKE BLVD STE 113
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6274
Practice Address - Country:US
Practice Address - Phone:817-296-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61170101YP2500X
TX201046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional