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NPI Code Detail

MEDICARE: CATHY OTERO

MEDICARE:   CATHY  OTERO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1841655073
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY OTERO
Provider Business Mailing Address
First Line : 336 OXFORD ST STE 209
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3122
Country : US
Telephone Number : 619-691-1662
Fax Number :
Provider Business Practice Location Address
First Line : 336 OXFORD ST STE 209
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3122
Country : US
Telephone Number : 619-691-1662
Fax Number : 619-691-1663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 05/22/2023

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Directions to “ CATHY OTERO ” Practice Location

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