Individual
ANGELA OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
431 1ST AVE W, KALISPELL, MT 59901-4959
(406) 607-4971
Mailing address
1312 N MERIDIAN RD, KALISPELL, MT 59901-3095
(406) 257-6240
(406) 752-0534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16845
MT
Other
Enumeration date
04/07/2016
Last updated
12/09/2022
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