Individual
DR. JACK R FUTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
441 N MAIN ST, ALTURAS, CA 96101
(530) 233-6312
(530) 233-5311
Mailing address
441 N MAIN ST, MODOC COUNTY MENTAL HEALTH, ALTURAS, CA 96101
(530) 233-6312
(530) 233-5311
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY10885
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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