Provider Demographics
NPI:1588141683
Name:HUTCHISON HUTCHISON, NIKKI DARLENE (LSCSW)
Entity type:Individual
Prefix:MISS
First Name:NIKKI
Middle Name:DARLENE
Last Name:HUTCHISON HUTCHISON
Suffix:
Gender:F
Credentials:LSCSW
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Mailing Address - Street 1:3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049
Mailing Address - Country:US
Mailing Address - Phone:785-371-1414
Mailing Address - Fax:785-371-4519
Practice Address - Street 1:3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC
Practice Address - Street 2:SUITE 104
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049
Practice Address - Country:US
Practice Address - Phone:785-371-1414
Practice Address - Fax:785-371-4519
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS061431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical