Blue Grotto Art Therapy Studio LLC

NPI #1841159167 in Otis, Oregon

Provider Information

NPI Number
1841159167
Entity Type
Organization
Organization Name
Blue Grotto Art Therapy Studio LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 21, 2026
Last Updated
Jan 21, 2026

Practice Location

Address
5555 N HIGHWAY 101
City
Otis
State
Oregon
ZIP Code
97368-9620
Phone
(541) 921-5291

Authorized Official

Name
MS. SUSANNE KATHARINA FREITAG, LPC, LCAT, ATR-BC
Title
OWNER / AUTHORIZED OFFICIAL
Phone
(541) 921-5291

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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