Provider Demographics
NPI:1578101622
Name:HUTCHINSON ROSS, PRETINA LAROSA (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:PRETINA
Middle Name:LAROSA
Last Name:HUTCHINSON ROSS
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-3026
Mailing Address - Country:US
Mailing Address - Phone:352-792-4241
Mailing Address - Fax:
Practice Address - Street 1:315 N MYRTLE ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-3026
Practice Address - Country:US
Practice Address - Phone:352-792-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health