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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK W DUTRO, PH.D.

Active Sole Proprietor

JACK W DUTRO, PH.D. is a Marriage & Family Therapist healthcare provider located in ABERDEEN, Washington. NPI 1013229020 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · ABERDEEN, WA

Registration Details

NPI Number
1013229020
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2010 (16.095148543902 yrs)
Last Updated
Jul 7, 2010
License
LF00000951 (WA)
Sole Proprietor
Yes

Practice Information

Address
1210 MADISON ST
ABERDEEN, WA, 985202838
Browse WA providers · Browse ZIP 98520
Phone
3605379103
Fax
3605328891
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in ABERDEEN, WA

Name Credential NPI
CHRISTINA M HOLLAND LMFT 1386847259
SANDRA HALL 1043680416
BRIANA SANSAVER 1215675921
KISA MULLIKIN LMFTA 1558084376
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.