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Organization
OTR WELLNESS
Active
Organization
OTR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JILL FUENTES LPC CAGCS CCTP (CO-PRESIDENT AND TREASURER)
(202) 506-3240
Entity
Organization
Contact information
Practice address
1801 COLUMBIA RD NW STE 102, WASHINGTON, DC 20009-2031
(202) 506-3240
(202) 506-1601
Mailing address
1801 COLUMBIA RD NW STE 102, WASHINGTON, DC 20009-2031
(202) 506-3240
(202) 506-1601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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