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

Nicole Christine Otto

Individual provider Professional Counselor · NPI 1780347674

Nicole Christine Otto is a Professional Counselor in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

6025 N Green Bay Ave Uppr Level
Glendale, WI 53209-3811
Phone: (414) 247-0801
Fax: (414) 247-0816
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10571 (WI)

Record details

NPI number1780347674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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