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:
Health care specialties
| Specialty | Code | License # | 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 12 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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