Individual provider · Type 1 NPI

Robert Drew Otten, LAADC, M-RAS, CSC

Addiction (Substance Use Disorder) Counselor · San Luis Obispo, CA

NPI number 1447387345 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4513

Call (805) 781-4861 Map

Fax (805) 781-1227

Mailing address

PO Box 1241
Morro Bay, CA 93443-1241

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XO0509301519 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCI0101214 (CA)

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

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About NPI 1447387345

Robert Drew Otten, LAADC, M-RAS, CSC's National Provider Identifier is 1447387345, issued on Feb 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Dec 14, 2015.