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Jason Robert Otwell
Professional Counselor in Atlanta, Georgia
NPI 1275653172

Jason Robert Otwell is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Jason Robert Otwell practices in Atlanta, GA. The NPI Number for Jason Robert Otwell is 1275653172 and holds a License No. LPC003612 (Georgia).

The current practice location address for Jason Robert Otwell is 6111 Peachtree Dunwoody Rd Ne, Atlanta, GA and can be reached out via phone at 770-396-0232 and via fax at 770-399-0007.

Location: 6111 Peachtree Dunwoody Rd Ne, Atlanta, GA, 30328-6049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275653172
Provider Name
Jason Robert Otwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
6111 Peachtree Dunwoody Rd Ne, Atlanta, GA, 30328-6049
Phone Number
770-396-0232
Fax Number
770-399-0007
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6111 Peachtree Dunwoody Rd Ne
City
Atlanta
State
Georgia
Zip
30328-6049
Phone Number
770-396-0232
Fax Number
770-399-0007
person
Provider Business Mailing Address Details
Address
6111 Peachtree Dunwoody Rd Ne
City
Atlanta
State
Georgia
Zip
30328-6049
Phone Number
770-396-0232
Fax Number
770-399-0007
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC003612 (Georgia)
Definition
Definition to come...
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