Provider Demographics
NPI:1164978813
Name:HUTCHESON, DONNA M (LMFT #112819)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:HUTCHESON
Suffix:
Gender:F
Credentials:LMFT #112819
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4203
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-4203
Mailing Address - Country:US
Mailing Address - Phone:530-401-5930
Mailing Address - Fax:530-823-2072
Practice Address - Street 1:1212 HIGH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5015
Practice Address - Country:US
Practice Address - Phone:530-401-5930
Practice Address - Fax:530-823-8387
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112819106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist