Individual
JAMES R OTEPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E. MAIN STREET, SUITE 201, ST. CHARLES, IL 60174
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000253
IL
Other
Enumeration date
10/02/2006
Last updated
09/05/2017
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