MR. EDWARD SCOTT OTTESEN LPC NPI 1386073773

NPI Information

NPI: 1386073773
Provider Name: MR. EDWARD SCOTT OTTESEN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12471 N 75TH DR
PEORIA, AZ
ZIP 85381
Phone: (480) 882-8059
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MR. Edward Scott Ottesen, LPC is a professional counselor in Peoria, AZ. MR. Edward Scott Ottesen, LPC NPI is 1386073773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12471 N 75TH DR
PEORIA, AZ
ZIP 85381-208
Phone: (480) 882-8059

The enumeration date for this NPI number is 11/5/2013 and was last updated on 12/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2077	ARIZONA	No
2	101YM0800X	Counselor	Mental Health	274970	ARIZONA	No
3	101YP2500X	Counselor	Professional	LPC-15869	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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