| Jack W Dutro, PHD | |
|
1210 Madison St, Aberdeen, WA 98520-2838 | |
| (360) 537-9103 | |
| (360) 532-8891 |
| Full Name | Jack W Dutro |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1210 Madison St, Aberdeen, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013229020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF00000951 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack W Dutro, PHD 1210 Madison St, Aberdeen, WA 98520-2838 Ph: (360) 537-9103 | Jack W Dutro, PHD 1210 Madison St, Aberdeen, WA 98520-2838 Ph: (360) 537-9103 |
Sandra Hall, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1813 Sumner Ave, Aberdeen, WA 98520 Phone: 360-538-1461 Fax: 360-537-4202 | |
Christina M Holland, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1812 Sumner Ave, Aberdeen, WA 98520 Phone: 360-532-0060 Fax: 360-532-0061 | |
Kisa Mullikin, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 104 W 4th St Ste 103, Aberdeen, WA 98520 Phone: 360-590-5472 |