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Jason Otten
Addiction (Substance Use Disorder) Counselor in Davenport, Iowa
NPI 1043958424

Jason Otten is an Addiction (Substance Use Disorder) Counselor based in Davenport, IA and is specialized in Addiction (Substance Use Disorder). Jason Otten practices in Davenport, IA. The NPI Number for Jason Otten is 1043958424 and holds a License No. (Iowa).

The current practice location address for Jason Otten is 1519 E Locust St, Davenport, IA and can be reached out via phone at 563-326-4116.

Location: 1519 E Locust St, Davenport, IA, 52803-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043958424
Provider Name
Jason Otten
Credential
Provider Entity Type
Individual
Gender
Male
Address
1519 E Locust St, Davenport, IA, 52803-3243
Phone Number
563-326-4116
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1519 E Locust St
City
Davenport
State
Iowa
Zip
52803-3243
Phone Number
563-326-4116
Fax Number
person
Provider Business Mailing Address Details
Address
1519 E Locust St
City
Davenport
State
Iowa
Zip
52803-3243
Phone Number
563-326-4116
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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