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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.0500164-SUPV (OH)
Mental Health Counselor 101YM0800X1262 (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.