| Tina Sue Otto, LPC, CADC | |
|
421 W Main St, Vandalia, IL 62471-2214 | |
| (618) 283-4229 | |
| Not Available |
| Full Name | Tina Sue Otto |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 421 W Main St, Vandalia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891813465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17890 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | 178.006052 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Sue Otto, LPC, CADC Rr 1 Box 300c, Ramsey, IL 62080-9402 Ph: (618) 423-9590 | Tina Sue Otto, LPC, CADC 421 W Main St, Vandalia, IL 62471-2214 Ph: (618) 283-4229 |
Mrs. Amber Michelle Smith, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 N 8th St, Vandalia, IL 62471 Phone: 618-293-1731 | |
Janet Eileen Evans, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 W Main St, Vandalia, IL 62471 Phone: 618-283-4229 Fax: 618-283-9302 | |
Amelia Bagato, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2224 Karen St, Vandalia, IL 62471 Phone: 618-581-4898 | |
Lynette Marie Gartke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Main St, Vandalia, IL 62471 Phone: 618-283-4229 | |
Matthew Gerald Gartke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Main St, Vandalia, IL 62471 Phone: 619-283-4229 | |
Tracie Michelle Donnelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 N 6th St, Vandalia, IL 62471 Phone: 618-283-2222 | |
Mrs. Elizabeth Jane Hoffman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 3 Box 576, Vandalia, IL 62471 Phone: 618-367-6352 Fax: 618-283-0880 |