person
Nicole Christine Otto
Professional Counselor in Glendale, Wisconsin
NPI 1780347674

Nicole Christine Otto is a Professional Counselor based in Glendale, WI and is specialized in Professional. Nicole Christine Otto practices in Glendale, WI. The NPI Number for Nicole Christine Otto is 1780347674 and holds a License No. 10571 (Wisconsin).

The current practice location address for Nicole Christine Otto is 6025 N Green Bay Ave Uppr Level, Glendale, WI and can be reached out via phone at 414-247-0801 and via fax at 414-247-0816.

Location: 6025 N Green Bay Ave Uppr Level, Glendale, WI, 53209-3811
person
Provider Profile Details
NPI Number
1780347674
Provider Name
Nicole Christine Otto
Credential
Provider Entity Type
Individual
Gender
Female
Address
6025 N Green Bay Ave Uppr Level, Glendale, WI, 53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10571 01 WI LICENSE
institution
Provider Business Practice Location Address Details
Address
6025 N Green Bay Ave Uppr Level
City
State
Zip
53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
person
Provider Business Mailing Address Details
Address
6025 N Green Bay Ave Uppr Level
City
State
Zip
53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10571 (Wisconsin)
Definition
Definition to come...
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