Provider Demographics
NPI:1437366267
Name:HUTCHISON, ELAINE RAE (LPCC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:RAE
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 WARE RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-9023
Mailing Address - Country:US
Mailing Address - Phone:859-707-8053
Mailing Address - Fax:
Practice Address - Street 1:4888 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-9046
Practice Address - Country:US
Practice Address - Phone:859-707-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional