Doctor Name: | MRS. CARRIE THOMAS SCOTT |
NPI Number: | 1518386275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LCPC-3785 |
Business Practice Address: | 400 S Main St Suite 302a Hailey, ID - 833338402 |
Business Phone Number: | 2087210531 |
Business Fax Number: | |
Mailing Address: | Po Box 1121, HAILEY |
State: | ID |
Postal Code: | 833331121 |
Phone Number: | 2087210531 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2014 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCPC-3785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |