Individual
MR. JEREMY JAMES RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60535582
WA
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PY60974878
WA
Other
Enumeration date
06/27/2011
Last updated
06/14/2021
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