Individual
MRS. LISA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4350 SCHWINN DR, DAYTON, OH 45404-1341
(937) 237-4270
Mailing address
805 OLD HARSHMAN RD, RIVERSIDE, OH 45431-1238
(937) 237-4270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E3450
OH
101YS0200X
School Counselor
Primary
OH1463726
OH
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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