Search › Illinois › 101YA0400X
Tina Otto, LPC, CADC
NPI 1891813465 · on the registry since 2007
Practice
- Address
- 421 W Main St
Vandalia, IL 62471 - Phone
- (618) 283-4229
- Organisation at this address
- Community Resource Center Inc.
Community Resource Center Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois