Individual provider · Type 1 NPI

Matthew Nicholas Otto, TCADC

Counselor · Lexington, KY

NPI number 1053907634 Active

Practice location

600 Perimeter Dr Ste 125
Lexington, KY 40517-4296

Call (866) 678-8123 Map

Mailing address

761 Dawson Springs Way
Lexington, KY 40511-2315

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X290511 (KY)

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.

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About NPI 1053907634

Matthew Nicholas Otto, TCADC's National Provider Identifier is 1053907634, issued on Dec 17, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lexington, KY. The record was last updated on Jun 24, 2024.