Provider Demographics
NPI:1821136045
Name:HUTCHINGS, JENNIFER BETH (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BETH
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 TENWAY DR SE
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-4525
Mailing Address - Country:US
Mailing Address - Phone:248-761-4673
Mailing Address - Fax:616-327-6333
Practice Address - Street 1:2151 TENWAY DR SE
Practice Address - Street 2:
Practice Address - City:EAST GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4525
Practice Address - Country:US
Practice Address - Phone:248-761-4673
Practice Address - Fax:616-327-6333
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006137106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist