Provider Demographics
NPI:1730379363
Name:HUTCHINSON, DREW RICHARD (MA, MFT)
Entity type:Individual
Prefix:MR
First Name:DREW
Middle Name:RICHARD
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 FERGUSON LN
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6213
Mailing Address - Country:US
Mailing Address - Phone:925-548-7730
Mailing Address - Fax:
Practice Address - Street 1:1317 FERGUSON LN
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6213
Practice Address - Country:US
Practice Address - Phone:925-548-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46801106H00000X
NMCMF0200081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist