Provider Demographics
NPI:1609656792
Name:SUTTON, ZACHARY S (MS, RMHCI #24680)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:S
Last Name:SUTTON
Suffix:
Gender:M
Credentials:MS, RMHCI #24680
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 W 23RD CT
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2215
Mailing Address - Country:US
Mailing Address - Phone:850-257-4139
Mailing Address - Fax:
Practice Address - Street 1:3901 W HIGHWAY 390
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3285
Practice Address - Country:US
Practice Address - Phone:850-257-4139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty