Provider Demographics
NPI:1326576141
Name:HUTCHINSON, HEATHER K (MS, CAADC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:K
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MS, CAADC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:K
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CAADC
Mailing Address - Street 1:2350 SAINT FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4807
Mailing Address - Country:US
Mailing Address - Phone:734-217-7452
Mailing Address - Fax:
Practice Address - Street 1:707 W MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2943
Practice Address - Country:US
Practice Address - Phone:313-344-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICAADC-D101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)