person
Dr. Walter Dackerman Rutherford, MFT
Mental Health Counselor in San Diego, California
NPI 1790950400

Walter Dackerman Rutherford is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Walter Dackerman Rutherford practices in San Diego, CA and has the professional credentials of MFT. The NPI Number for Walter Dackerman Rutherford is 1790950400 and holds a License No. MFT19739 (California).

The current practice location address for Walter Dackerman Rutherford is 6540 Lusk Blvd, San Diego, CA and can be reached out via phone at 858-202-1777 and via fax at 858-202-1701.

Location: 6540 Lusk Blvd, San Diego, CA, 92121-2766
person
Provider Profile Details
NPI Number
1790950400
Provider Name
Walter Dackerman Rutherford
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
6540 Lusk Blvd, San Diego, CA, 92121-2766
Phone Number
858-202-1777
Fax Number
858-202-1701
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6540 Lusk Blvd
City
State
Zip
92121-2766
Phone Number
858-202-1777
Fax Number
858-202-1701
person
Provider Business Mailing Address Details
Address
6540 Lusk Blvd
City
State
Zip
92121-2766
Phone Number
858-202-1777
Fax Number
858-202-1701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFT19739 (California)
Definition
Definition to come...
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