Individual
JENNIFER ELIZABETH OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
102 S EUCLID AVE STE 310, SANDPOINT, ID 83864-4938
(208) 410-8364
Mailing address
PO BOX 685, SANDPOINT, ID 83864-0685
(208) 217-4507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8587
ID
Other
Enumeration date
01/03/2022
Last updated
05/08/2024
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