Individual
MS. JANE FRANCES OTSTOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4510 N 47TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
(602) 336-2269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC10364
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574146
—
AZ
Enumeration date
04/19/2007
Last updated
07/09/2007
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