Provider Demographics
NPI:1437336120
Name:HUTTON, MARK (LCDP, MAC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:HUTTON
Suffix:
Gender:M
Credentials:LCDP, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Mailing Address - Street 2:492 ROUTE 57 WEST
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882
Mailing Address - Country:US
Mailing Address - Phone:908-689-1000
Mailing Address - Fax:908-689-4529
Practice Address - Street 1:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - Street 2:370 MEMORIAL PARKWAY
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1580
Practice Address - Country:US
Practice Address - Phone:908-454-4470
Practice Address - Fax:908-454-5317
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic