Individual
SIMON DAVID OTERO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 WOLCOTT AVE NE, ALBUQUERQUE, NM 87109-4523
(505) 600-2279
Mailing address
1922 AMOR DR NW, ALBUQUERQUE, NM 87120-6021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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