Jason Otten
Jason Otten is an Addiction (Substance Use Disorder) Counselor in Davenport, Iowa. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1519 E Locust StDavenport, IA 52803-3243
Phone: (563) 326-4116
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1043958424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2022 |
| Last updated in NPPES | May 25, 2022 |
| Certification date | May 25, 2022 |
| Mailing address | 1519 E Locust St, Davenport, IA 52803-3243 |
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