Individual provider · Type 1 NPI

Matthew Ira Otto, L.C.P.C.

Professional Counselor · Columbia, MD

NPI number 1598035701 Active

Practice location

10774 Hickory Ridge Rd
Columbia, MD 21044-3646

Call (410) 997-7288 Map

Fax (410) 997-2880

Mailing address

6835 Woodcrest Rd
New Market, MD 21774-2946

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC4279 (MD)

Professional Counselor: Definition to come...

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About NPI 1598035701

Matthew Ira Otto, L.C.P.C.'s National Provider Identifier is 1598035701, issued on Jan 4, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MD. The record was last updated on Jan 4, 2012.