Rutherford, Walter Dackerman

Rutherford, Walter Dackerman is an sole proprietor health care provider with primary practice located at 6540 Lusk Blvd Suite C-159, San Diego CA 92121-2766. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rutherford, Walter Dackerman can be contacted via phone (858) 202-1777.

Contact Information

Primary practice address
6540 Lusk Blvd Suite C-159 San Diego CA 92121-2766
Phone: (858) 202-1777
Fax: (858) 202-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFT19739 California

Profile Details

NPI number 1790950400
LBN Legal business name Rutherford, Walter Dackerman
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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