| Shannon Otto Counseling, Llc | |
|
13 Riccardi Dr Drums PA 18222-2747 | |
| (570) 861-6188 | |
| Not Available |
| Full Name | Shannon Otto Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 13 Riccardi Dr, Drums, Pennsylvania |
| Authorized Official Name and Position | Shannon Otto (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5705826562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Otto Counseling, Llc 13 Riccardi Dr Drums PA 18222-2747 Ph: (570) 861-6188 | Shannon Otto Counseling, Llc 13 Riccardi Dr Drums PA 18222-2747 Ph: (570) 861-6188 |
| NPI Number | 1932957446 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 2769924356 |
|---|---|
| Medicare Enrollment ID | O20240611002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932957446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shannon Otto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215505417 PECOS PAC ID: 9739621327 Enrollment ID: I20240611002451 |
Northeast Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 S Old Turnpike Rd, Drums, PA 18222 Phone: 570-455-6385 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Azalea Rd, Drums, PA 18222 Phone: 570-757-7590 |