Individual provider · Type 1 NPI
Edward Scott Ottesen, LPC
Professional Counselor · Peoria, AZ
NPI number
1386073773
Active
Practice location
12471 N 75th Dr
Peoria, AZ 85381-5208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-15869 (AZ) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2077 (AZ) |
| Mental Health Counselor | 101YM0800X | 274970 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1386073773
Edward Scott Ottesen, LPC's National Provider Identifier is 1386073773, issued on Nov 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, AZ. The record was last updated on Dec 5, 2015.