Provider Demographics
NPI:1669910691
Name:HUTCHISON, JESSICA L (LCPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W OLD NORTHWEST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6816
Mailing Address - Country:US
Mailing Address - Phone:224-655-8718
Mailing Address - Fax:
Practice Address - Street 1:509 W OLD NORTHWEST HWY STE 200
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6816
Practice Address - Country:US
Practice Address - Phone:224-655-8718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health