Individual
DR. JEANNIE LEE ROSARIO OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLC, MHS, PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1690
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
4829
PR
103TC0700X
Clinical Psychologist
Primary
8889
PR
Other
Enumeration date
08/18/2020
Last updated
05/07/2026
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