DANIEL DOUGLAS HUTCHISON

MARYVILLE, IL
NPI1568719797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  27213)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- DANIEL DOUGLAS HUTCHISON
2148 VADALABENE DR
MARYVILLE, IL 62062-5632
Phone number: 618-288-3100
Mailing Address
-- DANIEL DOUGLAS HUTCHISON
111 N 9TH ST
MASCOUTAH, IL 62258-1117
Phone number: