Individual provider · Type 1 NPI
Joanna Van Otterloo
Professional Counselor · Minnetonka, MN
NPI number
1154759801
Active
Practice location
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Mailing address
4123 Painted Sky Trl
Chaska, MN 55318-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | E.0500164-SUPV (OH) |
| Mental Health Counselor | 101YM0800X | 1262 (MN) |
Professional Counselor: Definition to come...
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About NPI 1154759801
Joanna Van Otterloo's National Provider Identifier is 1154759801, issued on Oct 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 24, 2026.