| Doctor Name: | MR. JOHN LAWRENCE TUTTLE |
| NPI Number: | 1477836559 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, MED, NCC, LLPC |
| License Number: | 6401012653 |
| Business Practice Address: | 60 E Lincoln Ave Zeeland, MI - 494641732 |
| Business Phone Number: | 6168263115 |
| Business Fax Number: | |
| Mailing Address: | 60 E Lincoln Ave, ZEELAND |
| State: | MI |
| Postal Code: | 494641732 |
| Phone Number: | 6168263115 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2011 |
| NPI Last Update Date: | 09/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401012653 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |