Individual provider · Type 1 NPI

Johnnie Scott-Boller

Mental Health Counselor · St. Petersburg, FL

NPI number 1124453881 Active

Practice location

445 31st St N
St. Petersburg, FL 33713-7605

Fax (727) 258-9120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124453881

Johnnie Scott-Boller's National Provider Identifier is 1124453881, issued on Sep 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 12, 2013.