| Doctor Name: | BURTON MICHAEL HUTTEN |
| NPI Number: | 1043643539 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, ASW |
| License Number: | 29784 |
| Business Practice Address: | 780 S Dora St Ukiah, CA - 954825348 |
| Business Phone Number: | 7074672010 |
| Business Fax Number: | |
| Mailing Address: | Po Box 734, COBB |
| State: | CA |
| Postal Code: | 954260734 |
| Phone Number: | 7073382521 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2013 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 29784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |