Individual provider · Type 1 NPI

Jason Otten

Addiction (Substance Use Disorder) Counselor · Davenport, IA

NPI number 1043958424 Active

Practice location

1519 E Locust St
Davenport, IA 52803-3243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043958424

Jason Otten's National Provider Identifier is 1043958424, issued on May 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Davenport, IA. The record was last updated on May 25, 2022.