Otu, Theresa N

Otu, Theresa N is an individual health care provider with primary practice located at 10117 74Th St Suite 100, Kenosha WI 53142-7533. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Otu, Theresa N can be contacted via phone (262) 697-8268.

Contact Information

Primary practice address
10117 74Th St Suite 100 Kenosha WI 53142-7533
Phone: (262) 697-8268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5157-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X KY-1567 Kentucky

Profile Details

NPI number 1770853574
LBN Legal business name Otu, Theresa N
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Aug 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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