# J. OTTO CONSULTING

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

## Provider details

- **NPI number:** 1497107106
- **Authorized official:** DR. JAQUI RENEE OTTO PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (817) 492-5105

## Contact information

- **Practice address:** 111 QUEST CT, KELLER, TX 76248-3748
- **Practice address phone:** (817) 492-5105
- **Mailing address:** 111 QUEST CT, KELLER, TX 76248-3748
- **Mailing address phone:** (817) 492-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 07/06/2016
