Provider Demographics
NPI:1326925645
Name:HUTCHERSON, KENDRA
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:
Last Name:HUTCHERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10247 HIGHWAY 92 UNIT 2-200
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3934
Mailing Address - Country:US
Mailing Address - Phone:706-714-0657
Mailing Address - Fax:
Practice Address - Street 1:1905 WOODSTOCK RD STE 3250
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5622
Practice Address - Country:US
Practice Address - Phone:470-607-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor