Shannon Otto, MA, NCC, LPC | |
13 Riccardi Dr, Drums, PA 18222-2747 | |
(570) 582-6562 | |
Not Available |
Full Name | Shannon Otto |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13 Riccardi Dr, Drums, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215505417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Shannon Otto Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932957446 PECOS PAC ID: 2769924356 Enrollment ID: O20240611002262 |
Mailing Address | Practice Location Address |
---|---|
Shannon Otto, MA, NCC, LPC 13 Riccardi Dr, Drums, PA 18222-2747 Ph: (570) 582-6562 | Shannon Otto, MA, NCC, LPC 13 Riccardi Dr, Drums, PA 18222-2747 Ph: (570) 582-6562 |
Diane Dellavella, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Avalanche Ln, Drums, PA 18222 Phone: 570-401-6100 | |
Anna Rose Marie Derewicz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Lazy Ln Apt 20411, Drums, PA 18222 Phone: 570-956-6624 | |
Dawn Lynne Larock-sharrer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 W Foothills Dr, Drums, PA 18222 Phone: 570-956-9364 | |
Ms. Denise E Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Johns Rd, Drums, PA 18222 Phone: 570-926-7235 | |
Stephanie Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Stonecroft Rd, Drums, PA 18222 Phone: 570-926-5464 |