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Kenneth F Otten
Peer Specialist in Ridgefield, Washington
NPI 1326724741

Kenneth F Otten is a Peer Specialist based in Battle Ground, WA. Kenneth F Otten practices in Ridgefield, WA. The NPI Number for Kenneth F Otten is 1326724741 and holds a License No. (Washington).

The current practice location address for Kenneth F Otten is 21810 Ne 37Th Ave, Ridgefield, WA and can be reached out via phone at 844-777-9242.

Location: 21810 Ne 37Th Ave, Ridgefield, WA, 98604-1299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326724741
Provider Name
Kenneth F Otten
Credential
Provider Entity Type
Individual
Gender
Male
Address
21810 Ne 37Th Ave, Ridgefield, WA, 98604-1299
Phone Number
844-777-9242
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21810 Ne 37Th Ave
City
Ridgefield
State
Washington
Zip
98642-7747
Phone Number
844-777-9242
Fax Number
person
Provider Business Mailing Address Details
Address
21810 Ne 37Th Ave
City
Ridgefield
State
Washington
Zip
98642-7747
Phone Number
844-777-9242
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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