Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack W Dutro, PHD

Individual provider Marriage & Family Therapist · NPI 1013229020

Jack W Dutro, PHD is a Marriage & Family Therapist in Aberdeen, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1210 Madison St
Aberdeen, WA 98520-2838
Phone: (360) 537-9103
Fax: (360) 532-8891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LF00000951 (WA)

Record details

NPI number1013229020
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 7, 2010
Last updated in NPPESJuly 7, 2010

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