Robert Drew Otten in San Luis Obispo - Addiction (substance Use Disorder)

Robert Drew Otten - NPI 1447387345

Robert Drew Otten is a Addiction (substance Use Disorder) in San Luis Obispo, California. Robert Drew Otten practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robert Drew Otten is 1447387345. The last update date is 2015-12-14.

Robert Drew Otten's current location address is 2180 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057814861 and fax number 8057811227. The mailing address for Robert Drew Otten is 2180 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Drew Otten
Address 2180 Johnson Ave, San Luis Obispo, California
Phone Number 8057814861
Fax Number 8057811227
Sole Proprietor Y
Credentials LAADC, M-R

NPI Number Detail

NPI Number 1447387345
Provider Enumeration Date 2007-02-27
Last Updated Date 2015-12-14

Provider Mailing Address Detail

Address 2180 Johnson Ave
City San Luis Obispo
State California (CA)
Post Code 934014513
Phone Number 8057814861
Fax Number 8057811227

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No O0509301519
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Robert Drew Otten

What is the unique 10-digit identifier code issued to Robert Drew Otten by the Centers for Medicare & Medicaid Services?

The Robert Drew Otten has been assigned the NPI (National Provider Identifier) 1447387345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Robert Drew Otten located?

The Robert Drew Otten is located at 2180 Johnson Ave, San Luis Obispo, CA 934014513.

What is Robert Drew Otten's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert Drew Otten's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

When did Robert Drew Otten receive its 1447387345 assignment?

The Robert Drew Otten was assigned its 1447387345 on 2007-02-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Robert Drew Otten last refreshed?

The information related to the Robert Drew Otten, including its address, specialty, and other relevant details, was last updated on 2015-12-14.

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