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

Tammy Lea Otero, LADC/MH

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376199596

Tammy Lea Otero, LADC/MH is an Addiction (Substance Use Disorder) Counselor in Tonkawa, Oklahoma. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
Specialties on file
4

Practice location Address checks out

12501 W Fountain Rd
Tonkawa, OK 74653-4427
Phone: (505) 263-1731
Show map & directions

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

Additional practice locations (1)

  • 827 E Hubbard Rd, Ponca City, OK 74601-1156 — (505) 263-1731

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1442 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1376199596
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC/MH
Sole proprietorYes
NPI enumeratedAugust 13, 2019
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

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