Provider Demographics
NPI:1467007294
Name:HUTCHINSON, REBECCA BRIDGES (MED)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:BRIDGES
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6023 HEMATITE RIM
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-4155
Mailing Address - Country:US
Mailing Address - Phone:210-313-2311
Mailing Address - Fax:
Practice Address - Street 1:ALAMO HEIGHTS COUNSELING, INC.
Practice Address - Street 2:900 NE LOOP 410, SUITE D200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1407
Practice Address - Country:US
Practice Address - Phone:210-822-2600
Practice Address - Fax:210-822-2685
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78489101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional