Individual provider · Type 1 NPI

Betty Otieno, RN

Mental Health Counselor · Lawrenceville, GA

NPI number 1194139683 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Fax (678) 212-6343

Mailing address

4392 Chatuge Dr
Buford, GA 30519-1866

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRN084632 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1194139683

Betty Otieno, RN's National Provider Identifier is 1194139683, issued on Jun 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 12, 2014.