Individual
MICAELA OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RES IN COUNSELING
Contact information
Practice address
875 RIO EAST CT, CHARLOTTESVILLE, VA 22901-8050
(804) 552-0708
Mailing address
875 RIO EAST CT, CHARLOTTESVILLE, VA 22901-8050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017059
VA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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