MEDICARE: DANIELA OTOYA MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701012752	VA

General Provider Information

NPI Number	:	1548906308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA OTOYA MA

Provider Business Mailing Address
First Line	:	1520 BELLE VIEW BLVD STE 5556
Second Line	:	SUITE 5556
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	304-404-3221
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 BELLE VIEW BLVD STE 5556
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	304-712-9265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	01/22/2026

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