Individual
AMY SUE PATRICK-OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Contact information
Practice address
2316 JODI LN, GAINESVILLE, TX 76240-2446
(940) 368-7176
Mailing address
2316 JODI LN, GAINESVILLE, TX 76240-2446
(940) 368-7176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
013858
GA
101YP2500X
Professional Counselor
20874
SD
101YP2500X
Professional Counselor
Primary
64076
TX
Other
Enumeration date
08/31/2010
Last updated
04/06/2024
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