person
Mr. Matthew Ira Otto, LCPC
Professional Counselor in Columbia, Maryland
NPI 1598035701

Matthew Ira Otto is a Professional Counselor based in New Market, MD and is specialized in Professional. Matthew Ira Otto practices in Columbia, MD and has the professional credentials of LCPC. The NPI Number for Matthew Ira Otto is 1598035701 and holds a License No. LC4279 (Maryland).

The current practice location address for Matthew Ira Otto is 10774 Hickory Ridge Rd, Columbia, MD and can be reached out via phone at 410-997-7288 and via fax at 410-997-2880.

Location: 10774 Hickory Ridge Rd, Columbia, MD, 21774-2946
person
Provider Profile Details
NPI Number
1598035701
Provider Name
Matthew Ira Otto
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
10774 Hickory Ridge Rd, Columbia, MD, 21774-2946
Phone Number
410-997-7288
Fax Number
410-997-2880
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10774 Hickory Ridge Rd
City
State
Zip
21044-3646
Phone Number
410-997-7288
Fax Number
410-997-2880
person
Provider Business Mailing Address Details
Address
10774 Hickory Ridge Rd
City
State
Zip
21044-3646
Phone Number
410-997-7288
Fax Number
410-997-2880
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC4279 (Maryland)
Definition
Definition to come...
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