Individual provider · Type 1 NPI

Jimmie Kotouc, B.A., IADC

Addiction (Substance Use Disorder) Counselor · Dubuque, IA

NPI number 1235501073 Active

Practice location

799 Main St, Suite 110
Dubuque, IA 52001-6844

Fax (563) 582-4006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14045 (IA)

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

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About NPI 1235501073

Jimmie Kotouc, B.A., IADC's National Provider Identifier is 1235501073, issued on Oct 20, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dubuque, IA. The record was last updated on Oct 20, 2015.