Individual provider · Type 1 NPI
Samantha Gage Otto, LPC, NCC, CAADC
Counselor · Bristol, PA
NPI number
1043861032
Active
Practice location
806 Veterans Hwy
Bristol, PA 19007-2507
Mailing address
102 W Prospect Ave
Langhorne, PA 19047-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | PC011740 (PA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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About NPI 1043861032
Samantha Gage Otto, LPC, NCC, CAADC's National Provider Identifier is 1043861032, issued on Sep 22, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bristol, PA. The record was last updated on Feb 24, 2021.