Individual
MR. ADAM DUTTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSWAIC
Contact information
Practice address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Mailing address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
(206) 322-6306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61074273
WA
104100000X
Social Worker
Primary
SWIA.SC.70059219
WA
1041C0700X
Clinical Social Worker
SWIA.SC.70059219
WA
106S00000X
Behavior Technician
CG61074273
WA
Other
Enumeration date
05/06/2020
Last updated
04/02/2026
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