Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destinie Angel Otero, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679142715

Destinie Angel Otero, LSAA is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
Specialties on file
2

Practice location Address checks out

801 Encino Pl NE
Albuquerque, NM 87102-2612
Phone: (505) 272-2573
Fax: (505) 272-7751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CSA0216631 (NM)

Record details

NPI number1679142715
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSAA
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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