Individual provider · Type 1 NPI

Walter Dackerman Rutherford, M.F.T.

Mental Health Counselor · San Diego, CA

NPI number 1790950400 Active

Practice location

6540 Lusk Blvd, Suite C-159
San Diego, CA 92121-2766

Fax (858) 202-1701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT19739 (CA)

Mental Health Counselor: Definition to come...

18 other providers at this address

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About NPI 1790950400

Walter Dackerman Rutherford, M.F.T.'s National Provider Identifier is 1790950400, issued on Apr 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Apr 23, 2008.