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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON OTAWKA

Active Sole Proprietor

SHANNON OTAWKA is a Marriage & Family Therapist healthcare provider located in HUNTINGTON BEACH, California. NPI 1497092977 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · HUNTINGTON BEACH, CA

Registration Details

NPI Number
1497092977
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2013 (13.623754949814 yrs)
Last Updated
Nov 22, 2019
License
111859 (CA)
Sole Proprietor
Yes

Practice Information

Address
18700 MAIN ST STE 202
HUNTINGTON BEACH, CA, 926481714
Browse CA providers · Browse ZIP 92648
Phone
9494471154
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in HUNTINGTON BEACH, CA

Name Credential NPI
DR. REBECCA ANNE GEHLKE NOLAN PSYD, LMFT 1972519650
CONSTANCE KLEIN 1881708808
MR. RUSSELL PHILIP TARDIF M.A., M.F.T. 1396856993
MS. JUDITH SCANLON PAPPOFF LMFT 1063523447
MRS. THERESA MARY ALLEN-LAVENAU MFT 1265535843
MS. COLEEN O'TOOLE MFT 1952493959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.