Organization
CANFIELD OTTEN PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA CANFIELD OTTEN MA, MED, LPC, LCDC, (COUNSELOR)
(281) 450-8375
Entity
Organization
Contact information
Practice address
2217 PARK AVE, PEARLAND, TX 77581
(281) 997-8400
(281) 997-8404
Mailing address
2217 PARK AVE, PEARLAND, TX 77581
(281) 997-8400
(281) 997-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13093
TX
101YM0800X
Mental Health Counselor
Primary
74298
TX
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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