Individual provider · Type 1 NPI

Kelly Lynn Ottaway

Professional Counselor · Jackson, MI

NPI number 1154861581 Active

Practice location

207 1st St
Jackson, MI 49201-2102

Mailing address

407 W Harrison St
Wakarusa, IN 46573-9583

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401018105 (MI)

Professional Counselor: Definition to come...

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About NPI 1154861581

Kelly Lynn Ottaway's National Provider Identifier is 1154861581, issued on Mar 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MI. The record was last updated on Oct 16, 2024.