Healthcare Provider Details

I. General information

NPI: 1437768074
Provider Name (Legal Business Name): VICTOR JAVIER COTTO CMHC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 W 3500 S STE E
WEST VALLEY CITY UT
84119-2668
US

IV. Provider business mailing address

3280 W 3500 S STE E
WEST VALLEY CITY UT
84119-2668
US

V. Phone/Fax

Practice location:
  • Phone: 801-979-1351
  • Fax:
Mailing address:
  • Phone: 801-979-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13164210-6004
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number97321
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: