Most Relevant Information
Provider Data
| NPI Number: | 1003685843 |
| Provider Name: | JEREMY HARRIS HOTTLE CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 183691 |
Most Important Dates
| Enumeration Date: | 12/21/2023 |
| Last Updated: | 12/21/2023 |
Provider Practice Location
3035 W BROAD ST
COLUMBUS
OH
432042653
Practice Location Phone/Fax
| Phone: | 6142727005 |
| Fax: | 6142727008 |
Provider Mailing Location
3035 W BROAD ST
COLUMBUS
OH
432042653
Provider Mailing Phone/Fax
| Phone: | 6142727005 |
| Fax: | 6142727008 |