Otis, Jessica
Otis, Jessica is an individual health care provider with primary practice located at 12971 S Shawnee Dr , Riverton UT 84096-7805. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Otis, Jessica can be contacted via phone (801) 910-5587.Contact Information
Primary practice address
12971 S Shawnee Dr
Riverton UT 84096-7805
Phone: (801) 910-5587
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-925 | Wyoming |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 113051 | Alaska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-36030 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8696808-3501 | Utah |
Profile Details
| NPI number | 1396163002 |
|---|---|
| LBN Legal business name | Otis, Jessica |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2014 |
| Last updated | Feb 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Neilson, Tamera Lee
2134 Golden Valley Dr , Riverton UT 84065-5751 -
Proctor, Lyndsey
12447 S Crossing Dr Ste 13 , Riverton UT 84096-7020 -
Rees, Helen Michele
1377 Creekhaven Dr , Riverton UT 84065-4148 -
Anderson, Emily
3740 Market Center Dr Suite 1200, Riverton UT 84065-8026 -
Woodruff, Laura Bartholomew
12574 South Redwood Road , Riverton UT 84065 -
Macfarlane, Lindsey Ann
12427 S Pasture Rd Ste 104 , Riverton UT 84096-5608 -
Rodriguez, Ariella M
13222 Tree Sparrow Dr Ste R210 , Riverton UT 84096-2889 -
Baldwin, Tracie Lynn
1262 W 12700 S Suite D, Riverton UT 84065-7798