person
Stacey Otto
Mental Health Counselor in Oshkosh, Wisconsin
NPI 1871651299

Stacey Otto is a Mental Health Counselor based in Oshkosh, WI and is specialized in Mental Health. Stacey Otto practices in Oshkosh, WI. The NPI Number for Stacey Otto is 1871651299 and holds a License No. 6910-123 (Wisconsin).

The current practice location address for Stacey Otto is 220 Washington Avenue, Oshkosh, WI and can be reached out via phone at 920-236-4600. You can also correspond with Stacey Otto through the mailing address at P. O. BOX 2187, OSHKOSH, WI - 54903-2187 (mailing address contact number: 920-236-4600).

Location: 220 Washington Avenue, Oshkosh, WI, 54903-2187
person
Provider Profile Details
NPI Number
1871651299
Provider Name
Stacey Otto
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Washington Avenue, Oshkosh, WI, 54903-2187
Phone Number
920-236-4600
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42156000 05 WI
42139300 05 WI
institution
Provider Business Practice Location Address Details
Address
220 Washington Avenue
City
State
Zip
54901
Phone Number
920-236-4600
Fax Number
person
Provider Business Mailing Address Details
Address
P. O. Box 2187
City
State
Zip
54903-2187
Phone Number
920-236-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6910-123 (Wisconsin)
Definition
Definition to come...
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