Individual provider · Type 1 NPI

Kristen Ottaka, LMHC

Mental Health Counselor · Medford, NY

NPI number 1811569759 Active

Practice location

3251 Route 112 Bldg 9
Medford, NY 11763-1446

Call (631) 451-6007 Map

Fax (631) 297-8121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X011492 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1811569759

Kristen Ottaka, LMHC's National Provider Identifier is 1811569759, issued on Jul 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, NY. The record was last updated on Jul 12, 2021.