Jason Otten

NPI #1043958424 in Davenport, Iowa

Provider Information

NPI Number
1043958424
Entity Type
Individual
Name
Jason Otten
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 25, 2022
Last Updated
May 25, 2022

Practice Location

Address
1519 E LOCUST ST
State
Iowa
ZIP Code
52803-3243
Phone
(563) 326-4116

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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