Organization
BLUE GROTTO ART THERAPY STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE KATHARINA FREITAG LPC, LCAT, ATR-BC (OWNER / AUTHORIZED OFFICIAL)
(541) 921-5291
Entity
Organization
Contact information
Practice address
5555 N HIGHWAY 101, OTIS, OR 97368-9620
(541) 921-5291
Mailing address
5555 N HIGHWAY 101, OTIS, OR 97368-9620
(541) 921-5291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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