Provider Demographics
NPI:1932123122
Name:HUTTINGER, MARIANNE U (LPC)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:U
Last Name:HUTTINGER
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 1:820 S. WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 2-B
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037
Mailing Address - Country:US
Mailing Address - Phone:609-704-5383
Mailing Address - Fax:609-561-0678
Practice Address - Street 1:820 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE 2-B
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2009
Practice Address - Country:US
Practice Address - Phone:609-704-5383
Practice Address - Fax:609-561-0678
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00057300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health