Jason Otterbeck, CASAC-T
NPI 1467094078 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6 Middle Country Rd
Middle Island, NY 11953 - Phone
- (631) 946-6060
- Fax
- (631) 946-6063
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York