Individual
SAMANTHA GAGE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CAADC
Contact information
Practice address
806 VETERANS HWY, BRISTOL, PA 19007-2507
(267) 689-7875
Mailing address
102 W PROSPECT AVE, LANGHORNE, PA 19047-3912
(609) 477-2652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC011740
PA
Other
Enumeration date
09/22/2019
Last updated
02/24/2021
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