Otis Lockett Jr., MS, LPC, CSAC, ICS
Otis Lockett Jr., MS, LPC, CSAC, ICS is a Mental Health Counselor in Milwaukee, Wisconsin. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 17
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
230 W Wells St Ste 214Milwaukee, WI 53203-1866
Phone: (414) 839-8994
Fax: (414) 291-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 1661 (WI) |
Record details
| NPI number | 1134329238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LPC , CSAC , ICS |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2007 |
| Last updated in NPPES | October 10, 2014 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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