Individual
MR. JOSEPH L. OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
6500 BOEING DR STE L150, EL PASO, TX 79925-1156
(915) 779-5600
(915) 779-5605
Mailing address
6500 BOEING DR STE L150, EL PASO, TX 79925-1156
(915) 779-5600
(915) 779-5605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VNM30451NI
—
NM
Enumeration date
05/16/2008
Last updated
05/16/2008
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