Individual
JOHANNA OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 HUMAN SERVICES RD, CLINTON, SC 29325-7548
(864) 833-6500
(864) 833-6905
Mailing address
PO BOX 843, LAURENS, SC 29360-0843
(864) 833-6500
(864) 833-6905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
03/11/2015
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