| Doctor Name: | MR. MICHAEL JOHN CLUTS |
| NPI Number: | 1407815590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | P8806008 |
| Business Practice Address: | 1312 W Collin Raye Dr De Queen, AR - 718322135 |
| Business Phone Number: | 8705847115 |
| Business Fax Number: | 8706423388 |
| Mailing Address: | 2904 Arkansas Blvd, TEXARKANA |
| State: | AR |
| Postal Code: | 718542536 |
| Phone Number: | 8707734655 |
| Fax Number: | 8707724650 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P8806008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |