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Individual

MR. JEREMY HARRIS HOTTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
3035 W BROAD ST, COLUMBUS, OH 43204-2653
(614) 272-7005
(614) 272-7008
Mailing address
3035 W BROAD ST, COLUMBUS, OH 43204-2653
(614) 272-7005
(614) 272-7008

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
183691
OH

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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