Individual provider · Type 1 NPI

Johnny Orlando Scott Jr., SAC-IT

Addiction (Substance Use Disorder) Counselor · Oshkosh, WI

NPI number 1104526557 Active

Practice location

505 S Washburn St
Oshkosh, WI 54904-7949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104526557

Johnny Orlando Scott Jr., SAC-IT's National Provider Identifier is 1104526557, issued on Mar 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Mar 6, 2023.