| NPI | 1265741821 |
|---|---|
| Other Name | MICHAEL DUTKO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002151) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000844) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2017-04-12 |