| Nathan Otten Counseling Llc | |
|
4019 Massard Rd Fort Smith AR 72903-6221 | |
| (712) 363-6755 | |
| Not Available |
| Full Name | Nathan Otten Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4019 Massard Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Nathan Otten (ORGANIZER) |
| Authorized Official Contact | 7123636755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Otten Counseling Llc 1713 Woodwind Way Van Buren AR 72956-2044 Ph: () - | Nathan Otten Counseling Llc 4019 Massard Rd Fort Smith AR 72903-6221 Ph: (712) 363-6755 |
| NPI Number | 1033749858 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033749858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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