Doctor Name: | KRISTI OTTIS |
NPI Number: | 1083730527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC, LPC |
License Number: | 66163 |
Business Practice Address: | 3526 E Fm 528 Rd Suite 208 Friendswood, TX - 775465014 |
Business Phone Number: | 4792006034 |
Business Fax Number: | 2818197845 |
Mailing Address: | 3147 Indian Summer Trl, FRIENDSWOOD |
State: | TX |
Postal Code: | 775465051 |
Phone Number: | 4792006034 |
Fax Number: | 2818197845 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 66163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |