Provider Demographics
NPI:1659002236
Name:VAN OTTEN, ELIZABETH (LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:VAN OTTEN
Suffix:
Gender:F
Credentials:LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 S WOODY WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2509
Mailing Address - Country:US
Mailing Address - Phone:480-628-4899
Mailing Address - Fax:
Practice Address - Street 1:8404 S WOODY WAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-2509
Practice Address - Country:US
Practice Address - Phone:480-628-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019280101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional