JACK W DUTRO PH.D.
NPI 1013229020
Marriage & Family Therapist in Aberdeen, WA

Q: What is Jack Dutro's NPI number?

The NPI number for Jack Dutro is 1013229020. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Q: What is Jack Dutro's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Dutro was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2010

1210 MADISON ST, ABERDEEN, WA 98520(360) 537-9103(360) 532-8891 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack W Dutro Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W DUTRO PH.D. (NPI 1013229020) is an individual marriage & family therapist in Aberdeen, Washington, licensed in Washington (LF00000951) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1013229020

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJACK W DUTROCredential: PH.D.

Location Address1210 MADISON STAberdeen, WA 98520-2838

Mailing Address1210 Madison StAberdeen, WA 98520-2838 · (360) 537-9103 · Fax (360) 532-8891

Phone(360) 537-9103

Fax(360) 532-8891

Sole ProprietorYes

Enumeration DateJuly 7, 2010

✔ NPI 1013229020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WA · LF00000951

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1210 MADISON ST, Aberdeen, WA 98520

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELA SELBERG CROWLEY LMHC

Counselor (Mental Health)

1210 MADISON ST
ABERDEEN, WA 98520

Grays Harbor County (360) 537-9103

ROBERT R. RAMSEY M.S.W.

Social Worker (Clinical)

1210 MADISON ST
ABERDEEN, WA 98520

Grays Harbor County (253) 219-8034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Dutro's NPI number?

The NPI number for Jack Dutro is 1013229020. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Where is Jack Dutro located?

Jack Dutro practices at 1210 Madison St, Aberdeen, WA 98520. The listed phone number is (360) 537-9103.

What is Jack Dutro's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jack Dutro was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.