Individual provider · Type 1 NPI
Jason Otterbeck, CASAC-T
Counselor · Middle Island, NY
NPI number
1467094078
Active
Practice location
6 Middle Country Rd
Middle Island, NY 11953-2516
Fax (631) 946-6063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 34592 (NY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
Other counselor providers in Middle Island
About NPI 1467094078
Jason Otterbeck, CASAC-T's National Provider Identifier is 1467094078, issued on Oct 15, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Middle Island, NY. The record was last updated on Oct 15, 2019.