Provider Demographics
NPI:1700052891
Name:EASTER-HUTCHINS, JUJUANE MICHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JUJUANE
Middle Name:MICHELLE
Last Name:EASTER-HUTCHINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 HARVEST HOME CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-1617
Mailing Address - Country:US
Mailing Address - Phone:636-922-2523
Mailing Address - Fax:
Practice Address - Street 1:1009 HARVEST HOME CIR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-1617
Practice Address - Country:US
Practice Address - Phone:636-922-2523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005012878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional