Individual
JACOB R. STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 CENTRAL AVE, KEARNEY, NE 68847-5302
(307) 677-1618
Mailing address
2002 CENTRAL AVE, KEARNEY, NE 68847-5302
(308) 627-6119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
193200000X
WY
101YM0800X
Mental Health Counselor
Primary
—
NE
101YM0800X
Mental Health Counselor
—
WY
171M00000X
Case Manager/Care Coordinator
—
WY
Other
Enumeration date
07/10/2020
Last updated
11/13/2023
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