Mr. Jack Lee Otterstrom, LCSW
Mr. Jack Lee Otterstrom, LCSW is a Professional Counselor in Independence, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
656 Jasmine CirIndependence, OR 97351-9578
Phone: (541) 231-8023
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 250 W Marquam St, Mount Angel, OR 97362-9520 — (971) 983-5214
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X (OR) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence L5316 (OR) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence L3516 (OR) |
Record details
| NPI number | 1922163096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |