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Individual

MR. JONATHAN R WOTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPC I

Contact information

Practice address
5631 S. PECOS ROAD, LAS VEGAS, NV 89120
(702) 685-0877
(702) 749-5922
Mailing address
5631 S. PECOS ROAD, LAS VEGAS, NV 89120
(702) 685-0877
(702) 749-5922

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI1599
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
03/16/2011
Last updated
05/12/2021
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