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

KRISTEN OTTAKA, LMHC

Active Sole Proprietor

KRISTEN OTTAKA, LMHC is a Mental Health Counselor healthcare provider located in MEDFORD, New York. NPI 1811569759 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MEDFORD, NY

Registration Details

NPI Number
1811569759
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2021 (5.0762168211145 yrs)
Last Updated
Jul 12, 2021
License
011492 (NY)
Sole Proprietor
Yes

Practice Information

Address
3251 ROUTE 112 BLDG 9
MEDFORD, NY, 117631446
Browse NY providers · Browse ZIP 11763
Phone
6314516007
Fax
6312978121
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MEDFORD, NY

Name Credential NPI
MS. REGINA PRZYWARA LCSW 1235285263
DENISE DUNCAN L.M.H.C., N.C.C. 1417164500
ELISA SUE MACCHIA MASTERS 1003170150
MS. COURTNEY MARCH LMHC 1912240789
SEAN WOLL LMHC 1568803161
VANESSA TABOADA 1619364429
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.