Individual provider · Type 1 NPI
Tina Sue Otto, LPC, CADC
Addiction (Substance Use Disorder) Counselor · Vandalia, IL
NPI number
1891813465
Active
Practice location
421 W Main St
Vandalia, IL 62471-2214
Mailing address
RR 1 Box 300C
Ramsey, IL 62080-9402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17890 (IL) |
| Mental Health Counselor | 101YM0800X | 178.006052 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
- Community Resource Center Inc.Substance Use Disorder Rehabilitation Clinic/Center Vandalia, IL NPI 1184850349
- Community Resource Center Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Vandalia, IL NPI 1245408491
- Janet Eileen Evans, L.C.P.C.Mental Health Counselor Vandalia, IL NPI 1164636601
- Lynda M. Norris, MSWSocial Worker Vandalia, IL NPI 1447508858
About NPI 1891813465
Tina Sue Otto, LPC, CADC's National Provider Identifier is 1891813465, issued on Mar 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vandalia, IL. The record was last updated on May 5, 2009.