Ottesen, Edward Scott

Ottesen, Edward Scott is an sole proprietor health care provider with primary practice located at 12471 N 75Th Dr , Peoria AZ 85381-5208. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Ottesen, Edward Scott can be contacted via phone (480) 882-8059.

Contact Information

Primary practice address
12471 N 75Th Dr Peoria AZ 85381-5208
Phone: (480) 882-8059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-15869 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2077 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 274970 Arizona

Profile Details

NPI number 1386073773
LBN Legal business name Ottesen, Edward Scott
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2013
Last updated Dec 5th, 2015 - about 11 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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