person
Tina Sue Otto, LPC,CADC
Mental Health Counselor in Vandalia, Illinois
NPI 1891813465

Tina Sue Otto is a Mental Health Counselor based in Ramsey, IL and is specialized in Mental Health. Tina Sue Otto practices in Vandalia, IL and has the professional credentials of LPC,CADC. The NPI Number for Tina Sue Otto is 1891813465 and holds a License No. 17890 (Illinois).

The current practice location address for Tina Sue Otto is 421 W Main St, Vandalia, IL and can be reached out via phone at 618-283-4229.

Location: 421 W Main St, Vandalia, IL, 62080-9402
person
Provider Profile Details
NPI Number
1891813465
Provider Name
Tina Sue Otto
Credential
LPC,CADC
Provider Entity Type
Individual
Gender
Female
Address
421 W Main St, Vandalia, IL, 62080-9402
Phone Number
618-283-4229
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 W Main St
City
State
Zip
62471-2214
Phone Number
618-283-4229
Fax Number
person
Provider Business Mailing Address Details
Address
421 W Main St
City
State
Zip
62471-2214
Phone Number
618-283-4229
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.006052 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
17890 (Illinois)
Definition
Definition to come...
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