| Stacey Otto, | |
|
220 Washington Avenue, Oshkosh, WI 54901 | |
| (920) 236-4600 | |
| Not Available |
| Full Name | Stacey Otto |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 220 Washington Avenue, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871651299 | NPI | - | NPPES |
| 42156000 | Medicaid | WI | |
| 42139300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6910-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Otto, P. O. Box 2187, Oshkosh, WI 54903-2187 Ph: (920) 236-4600 | Stacey Otto, 220 Washington Avenue, Oshkosh, WI 54901 Ph: (920) 236-4600 |
Sandra Magnuson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4600 | |
Dr. Janet W Hagen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Candlelight Ct, Oshkosh, WI 54904 Phone: 920-420-3825 | |
Krista Kay Moore, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Washburn St, Oshkosh, WI 54904 Phone: 920-232-2332 | |
Heidi Balke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 S Washburn St Ste 104, Oshkosh, WI 54904 Phone: 920-236-8570 | |
Patrick M Carlson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Washburn St, Oshkosh, WI 54904 Phone: 920-232-2332 | |
Ms. Angeline Fischer Gonzales, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Washburn St, Oshkosh, WI 54904 Phone: 920-232-2332 | |
Thomas Mittelsteadt, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S Oakwood Rd Ste 102, Oshkosh, WI 54904 Phone: 920-223-8570 Fax: 920-223-8591 |