Individual
MRS. BIANCA CABIT OTTERBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, CACI
Contact information
Practice address
1135 GREGG HWY, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
3219 COLONIAL DR, AIKEN, SC 29801-3022
(803) 552-2148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11021412
SC
101YP2500X
Professional Counselor
Primary
5381
SC
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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