Provider Demographics
NPI:1982195087
Name:KUTCHER, BETH A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:A
Last Name:KUTCHER
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 1:2662 RIVERBEND DR
Mailing Address - Street 2:
Mailing Address - City:ONA
Mailing Address - State:WV
Mailing Address - Zip Code:25545-9635
Mailing Address - Country:US
Mailing Address - Phone:304-840-9300
Mailing Address - Fax:
Practice Address - Street 1:2662 RIVERBEND DR
Practice Address - Street 2:
Practice Address - City:ONA
Practice Address - State:WV
Practice Address - Zip Code:25545-9635
Practice Address - Country:US
Practice Address - Phone:304-840-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health