# OTR WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235937848
- **Authorized official:** JENNIFER JILL FUENTES LPC CAGCS CCTP (CO-PRESIDENT AND TREASURER)
- **Authorized official phone:** (202) 506-3240

## Contact information

- **Practice address:** 1801 COLUMBIA RD NW STE 102, WASHINGTON, DC 20009-2031
- **Practice address phone:** (202) 506-3240
- **Practice address fax:** (202) 506-1601
- **Mailing address:** 1801 COLUMBIA RD NW STE 102, WASHINGTON, DC 20009-2031
- **Mailing address phone:** (202) 506-3240
- **Mailing address fax:** (202) 506-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/07/2025