Provider Demographics
NPI:1740850262
Name:HUTTON, HELEN CHERIE (LCSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CHERIE
Last Name:HUTTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-8327
Mailing Address - Country:US
Mailing Address - Phone:701-741-1979
Mailing Address - Fax:701-787-7901
Practice Address - Street 1:2900 14TH AVE S
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4042
Practice Address - Country:US
Practice Address - Phone:701-741-1979
Practice Address - Fax:701-787-7901
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2024-09-13
Deactivation Date:2021-10-19
Deactivation Code:
Reactivation Date:2021-10-29
Provider Licenses
StateLicense IDTaxonomies
ND38991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical