Individual
JACQUELYN OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
417 CATTELL ST, SUITE 1, EASTON, PA 18042-1703
(484) 546-4565
Mailing address
417 CATTELL ST, SUITE 1, EASTON, PA 18042-1703
(484) 546-4565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC008434
PA
Other
Enumeration date
12/13/2016
Last updated
04/05/2017
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