Individual provider · Type 1 NPI

Fred Randolph Scott Iii

Professional Counselor · Suffolk, VA

NPI number 1679272090 Active

Practice location

208 Republic Ln
Suffolk, VA 23434-1005

Call (757) 269-1400 Map

Mailing address

PO Box 1492
Suffolk, VA 23439-1492

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X0704013358 (VA)
Professional Counselor Primary 101YP2500X0701012670 (VA)

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About NPI 1679272090

Fred Randolph Scott Iii's National Provider Identifier is 1679272090, issued on Feb 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suffolk, VA. The record was last updated on Nov 8, 2023.