Individual
DR. CHRISTIAN J. OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9 S FAIRVIEW AVE, SUITE 203, PARK RIDGE, IL 60068-4033
(312) 933-7549
(312) 873-4738
Mailing address
9 S FAIRVIEW AVE, SUITE 203, PARK RIDGE, IL 60068-4033
(312) 933-7549
(312) 873-4738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-003609
IL
106H00000X
Marriage & Family Therapist
166-000438
IL
Other
Enumeration date
05/26/2007
Last updated
11/17/2008
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