Provider Demographics
NPI:1477311538
Name:HUTCHISON, REBECCA JEAN (M)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEAN
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:M
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:JEAN
Other - Last Name:DILLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:405 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LEASBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65535-7195
Mailing Address - Country:US
Mailing Address - Phone:573-259-4673
Mailing Address - Fax:
Practice Address - Street 1:103 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-3247
Practice Address - Country:US
Practice Address - Phone:573-433-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional