person
Jacob S Ottman, LCMHCA
Mental Health Counselor in Lewisville, North Carolina
NPI 1477272797

Jacob S Ottman is a Mental Health Counselor based in Kernersville, NC and is specialized in Mental Health. Jacob S Ottman practices in Lewisville, NC and has the professional credentials of LCMHCA. The NPI Number for Jacob S Ottman is 1477272797 and holds a License No. A17819 (North Carolina).

The current practice location address for Jacob S Ottman is 6614 Shallowford Rd Ste 250, Lewisville, NC and can be reached out via phone at 336-945-0137.

Location: 6614 Shallowford Rd Ste 250, Lewisville, NC, 27284-8332
person
Provider Profile Details
NPI Number
1477272797
Provider Name
Jacob S Ottman
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Male
Address
6614 Shallowford Rd Ste 250, Lewisville, NC, 27284-8332
Phone Number
336-945-0137
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
person
Provider Business Mailing Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A17819 (North Carolina)
Definition
Definition to come...
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