Provider Demographics
NPI:1467612523
Name:KUTCHINS, KATHRYN EMILY (LMHC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:EMILY
Last Name:KUTCHINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3974 TAMPA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3228
Mailing Address - Country:US
Mailing Address - Phone:727-692-7920
Mailing Address - Fax:
Practice Address - Street 1:3974 TAMPA RD
Practice Address - Street 2:SUITE C
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3228
Practice Address - Country:US
Practice Address - Phone:727-692-7920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health