JIMMIE KOTOUC

DUBUQUE, IA
NPI1235501073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  14045)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
Mr. JIMMIE KOTOUC B.A., IADC
799 MAIN ST SUITE 110
DUBUQUE, IA 52001-6844
Phone number: 563-582-3784
Mailing Address
Mr. JIMMIE KOTOUC B.A., IADC
799 MAIN ST SUITE 110
DUBUQUE, IA 52001-6844
Phone number: 563-582-3784