Walter Dackerman Rutherford in San Diego - Mental Health
Walter Dackerman Rutherford - NPI 1790950400
Walter Dackerman Rutherford is a Mental Health in San Diego, California. Walter Dackerman Rutherford practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Walter Dackerman Rutherford is 1790950400. The last update date is 2008-04-23.
Walter Dackerman Rutherford's current location address is 6540 Lusk Blvd, San Diego, California. You can contact this provider via phone number 8582021777 and fax number 8582021701. The mailing address for Walter Dackerman Rutherford is 6540 Lusk Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Dackerman Rutherford |
|---|---|
| Address | 6540 Lusk Blvd, San Diego, California |
| Phone Number | 8582021777 |
| Fax Number | 8582021701 |
| Sole Proprietor | Y |
| Credentials | M.F.T. |
NPI Number Detail
| NPI Number | 1790950400 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 6540 Lusk Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921212766 |
| Phone Number | 8582021777 |
| Fax Number | 8582021701 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MFT19739 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Walter Dackerman Rutherford by the Centers for Medicare & Medicaid Services?
The Walter Dackerman Rutherford has been issued the NPI (National Provider Identifier) 1790950400, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Walter Dackerman Rutherford is located?
The Walter Dackerman Rutherford is situated at the following address: 6540 Lusk Blvd, San Diego, CA, 921212766.
What is Walter Dackerman Rutherford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Walter Dackerman Rutherford's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790950400 to Walter Dackerman Rutherford?
The Centers for Medicare & Medicaid Services originally issued the 1790950400 to Walter Dackerman Rutherford on 2008-04-23.
As of what date were the details related to Walter Dackerman Rutherford most recently updated or revised?
The information pertaining to Walter Dackerman Rutherford, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-23.
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