Individual
JOANNA VAN OTTERLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 READING RD, CINCINNATI, OH 45237-6107
(513) 482-7079
Mailing address
2324 ESTATE RIDGE DR, CINCINNATI, OH 45244-2777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0500164-SUPV
OH
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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