Individual
JUSTIN OTTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3622
Mailing address
1481 W 106TH AVE, NORTHGLENN, CO 80234-3716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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