Individual
ALYSSA NICOLE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17160 130TH AVE, NUNICA, MI 49448-9450
(616) 847-4460
Mailing address
17160 130TH AVE, NUNICA, MI 49448-9450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
6803087239
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/29/2017
Last updated
02/19/2026
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