JACK W DUTRO (PH.D.) – Marriage & Family Therapist, NPI 1013229020

Marriage & Family Therapist

JACK W DUTRO (PH.D.) is a healthcare provider. based in Aberdeen, Washington. specializing in Marriage & Family Therapist. They hold the professional credentials PH.D.. They hold a License No. LF00000951 (WA). The NPI Number for JACK W DUTRO (PH.D.) is 1013229020

Main info

Male

Sole Proprietor

Name

JACK W DUTRO (PH.D.)

NPI

1013229020

Phone

(360) 537-9103

Address

1210 MADISON ST

Enumeration Date

7 July 2010

Last Update Date

7 July 2010

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for JACK W DUTRO (PH.D.)

1210 MADISON ST
ABERDEEN, WA 985202838
Phone: (360) 537-9103
Fax: (360) 532-8891
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98520)

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Reviews

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Frequently asked questions

Does JACK W DUTRO (PH.D.) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — JACK W DUTRO (PH.D.) uses 1013229020.

Does the file indicate JACK W DUTRO (PH.D.) is practicing under active NPI?

Directory data currently reports JACK W DUTRO (PH.D.) as active.

What taxonomy line describes JACK W DUTRO (PH.D.)?

For research purposes, treat JACK W DUTRO (PH.D.) as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect JACK W DUTRO (PH.D.) on a map?

Expect Aberdeen, Washington as a primary anchor for JACK W DUTRO (PH.D.) unless the record lists multiple sites.

Is the information about JACK W DUTRO (PH.D.) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."