Provider Demographics
NPI:1891034641
Name:HUTCHINSON, CELESTE H (MA, LPC, CCDP-D, ETC)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:H
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MA, LPC, CCDP-D, ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 CHESTNUT ST STE 404
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3024
Mailing Address - Country:US
Mailing Address - Phone:215-544-3241
Mailing Address - Fax:
Practice Address - Street 1:128 CHESTNUT ST STE 404
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-544-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional