Provider Demographics
NPI:1831710300
Name:HUTCHINS, JANET CHRISTYNE (CADC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:CHRISTYNE
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20509 2300 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OHIO
Mailing Address - State:IL
Mailing Address - Zip Code:61349-9155
Mailing Address - Country:US
Mailing Address - Phone:815-876-6090
Mailing Address - Fax:
Practice Address - Street 1:111 BUCKLIN ST STE 2
Practice Address - Street 2:
Practice Address - City:LA SALLE
Practice Address - State:IL
Practice Address - Zip Code:61301-2382
Practice Address - Country:US
Practice Address - Phone:815-780-0690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36292101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)