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Organization
OTTERSON COUNSELING PS
Active
Organization
OTTERSON COUNSELING PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN OTTERSON (OWNER)
(360) 631-0949
Entity
Organization
Contact information
Practice address
720 MAIN ST STE 224, MOUNT VERNON, WA 98273-3830
(360) 631-8050
Mailing address
19213 SOUNDVIEW DR NW, STANWOOD, WA 98292-7878
(360) 631-8050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/19/2019
Last updated
06/23/2022
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