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Organization
NATHAN OTTEN COUNSELING LLC
Active
Organization
NATHAN OTTEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN OTTEN (ORGANIZER)
(712) 363-6755
Entity
Organization
Contact information
Practice address
4019 MASSARD RD, FORT SMITH, AR 72903-6221
(712) 363-6755
Mailing address
1713 WOODWIND WAY, VAN BUREN, AR 72956-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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