| Shannon Otto, MA, NCC, LPC | |
|
13 Riccardi Dr, Drums, PA 18222-2747 | |
| (570) 582-6562 | |
| Not Available |
| Full Name | Shannon Otto |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 13 Riccardi Dr, Drums, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215505417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Shannon Otto Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932957446 PECOS PAC ID: 2769924356 Enrollment ID: O20240611002262 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Otto, MA, NCC, LPC 13 Riccardi Dr, Drums, PA 18222-2747 Ph: (570) 582-6562 | Shannon Otto, MA, NCC, LPC 13 Riccardi Dr, Drums, PA 18222-2747 Ph: (570) 582-6562 |
Gianna Yuhas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 W Foothills Dr, Drums, PA 18222 Phone: 570-606-1888 | |
Wendy Kilburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 E Butler Dr, Drums, PA 18222 Phone: 570-539-7901 | |
Diane Dellavella, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Avalanche Ln, Drums, PA 18222 Phone: 570-401-6100 | |
Robert Diienno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 E Butler Dr Ste 102, Drums, PA 18222 Phone: 570-539-7901 | |
Anna Rose Marie Derewicz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Lazy Ln Apt 20411, Drums, PA 18222 Phone: 570-956-6624 | |
Dawn Lynne Larock-sharrer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 W Foothills Dr, Drums, PA 18222 Phone: 570-956-9364 |