Healthcare Provider Details

I. General information

NPI: 1033963459
Provider Name (Legal Business Name): BRIONNA OTTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5142 HOLLISTER AVE # 4014
SANTA BARBARA CA
93111-2526
US

IV. Provider business mailing address

5142 HOLLISTER AVE # 4014
SANTA BARBARA CA
93111-2526
US

V. Phone/Fax

Practice location:
  • Phone: 805-699-6519
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number135064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: