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Individual

BETHANY OTTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LCMHC, MA

Contact information

Practice address
1208 THE PLZ, CHARLOTTE, NC 28205-5054
(704) 702-6448
Mailing address
3537 ENFIELD RD, CHARLOTTE, NC 28205-4407
(980) 229-3607

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16564
NC
101YM0800X
Mental Health Counselor

Other

Enumeration date
07/27/2021
Last updated
04/12/2025
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