Bott, Andrea Ellis

Bott, Andrea Ellis is an individual health care provider with primary practice located at 2072 N Main St Ste 205 , North Logan UT 84341-1700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bott, Andrea Ellis can be contacted via phone (435) 213-1638.

Contact Information

Primary practice address
2072 N Main St Ste 205 North Logan UT 84341-1700
Phone: (435) 213-1638
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6790474-3502 Utah
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1285278572
LBN Legal business name Bott, Andrea Ellis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated Jul 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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