Doctor Name: | DAVID LEE SCOTT |
NPI Number: | 1033364013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.A.C. |
License Number: | 1591 |
Business Practice Address: | 151 S 4th St Suite 401 Grand Forks, ND - 582014715 |
Business Phone Number: | 7017953000 |
Business Fax Number: | 7017953050 |
Mailing Address: | 151 S 4th St, Suite 401 GRAND FORKS |
State: | ND |
Postal Code: | 582014715 |
Phone Number: | 7017953000 |
Fax Number: | 7017953050 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 11/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |