Organization · Type 2 NPI

Lisa Otto, LCSW LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Laramie, WY

NPI number 1356923627 Active

Practice location

121 E Grand Ave Ste 209
Laramie, WY 82070-3652

Mailing address

PO Box 982
Laramie, WY 82073-0982

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1356923627

Lisa Otto, LCSW LLC's National Provider Identifier is 1356923627, issued on Apr 26, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Laramie, WY. The record was last updated on Apr 26, 2021.