MEDICARE: ELIZABETH DUTCHER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	106H00000X	Marriage & Family Therapist	131675	CA

General Provider Information

NPI Number	:	1861853731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH DUTCHER LMFT

Provider Business Mailing Address
First Line	:	334 VIA VERA CRUZ STE 251
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-2642
Country	:	US
Telephone Number	:	760-450-8914
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 VIA VERA CRUZ STE 251
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-2642
Country	:	US
Telephone Number	:	760-450-8914
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2016
Last Update Date	:	09/20/2025

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