Provider Demographics
NPI:1659644771
Name:HUTTSELL, REBECCA SUE (MASTER OF ARTS-COUNS)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:SUE
Last Name:HUTTSELL
Suffix:
Gender:F
Credentials:MASTER OF ARTS-COUNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HAWTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-9430
Mailing Address - Country:US
Mailing Address - Phone:317-332-9861
Mailing Address - Fax:317-893-4453
Practice Address - Street 1:1800 NORTH MERIDIAN STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-847-8762
Practice Address - Fax:317-926-9165
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000031A101YA0400X
IN33002855A104100000X
IN39000275A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker