| Doctor Name: | SCOTT C STANTON |
| NPI Number: | 1053662387 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MDIV., BCC |
| License Number: | |
| Business Practice Address: | 650 E Eden Ct Wasilla, AK - 996548512 |
| Business Phone Number: | 9077752046 |
| Business Fax Number: | 9073579693 |
| Mailing Address: | 650 E Eden Ct, WASILLA |
| State: | AK |
| Postal Code: | 996548512 |
| Phone Number: | 9077752046 |
| Fax Number: | 9073579693 |
| NPI Enumeration Date: | 09/26/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |