Individual
JON GAGE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 CLARK ST, GROVE HILL, AL 36451-3050
(251) 575-4203
(251) 575-9459
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4203
(251) 575-9459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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