Individual provider · Type 1 NPI
Tammy Lea Otero, LADC/MH
Mental Health Counselor · Tonkawa, OK
NPI number
1376199596
Active
Practice location
12501 W Fountain Rd
Tonkawa, OK 74653-4427
Other practice locations
- 827 E Hubbard Rd, Ponca City, OK 74601-1156 · (505) 263-1731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 1442 (OK) |
Mental Health Counselor: Definition to come...
About NPI 1376199596
Tammy Lea Otero, LADC/MH's National Provider Identifier is 1376199596, issued on Aug 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tonkawa, OK. The record was last updated on Jun 30, 2023.