Individual
MRS. KATHLEEN ANN OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9300 FOREST POINT CIR STE 176, MANASSAS, VA 20110-4766
(301) 375-0797
Mailing address
9300 FOREST POINT CIR STE 176, MANASSAS, VA 20110-4766
(301) 375-0797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9878
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017444240001
—
VA
Enumeration date
10/27/2019
Last updated
07/13/2022
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