SearchMichigan104100000X

Jack Dutton, MA, LPC, LBSW

NPI 1285735357 · on the registry since 2006 · sole proprietor

Practice

Address
217 E Sanilac Rd
Sandusky, MI 48471
Phone
(810) 583-0393
Organisation at this address
Genoa Healthcare Llc
Sanilac County Community Mental Health
Sanilac County Community Mental Health Authority
Sanilac County Community Mental Health Authority
Sanilac County Community Mental Health Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan