Individual provider · Type 1 NPI
Scott Mashburn
Addiction (Substance Use Disorder) Counselor · Fayetteville, AR
NPI number
1710564455
Active
Practice location
509 E Millsap Rd Ste 109
Fayetteville, AR 72703-4862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CIT (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1710564455
Scott Mashburn's National Provider Identifier is 1710564455, issued on Mar 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 27, 2021.