Individual
DAVE OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(801) 298-2000
Mailing address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(385) 308-8403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11976904-6009
UT
Other
Enumeration date
02/24/2017
Last updated
02/22/2023
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