Individual provider · Type 1 NPI
Jacqueline Renee Scott, LADC, MATS, CCJP
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1922580737
Active
Practice location
566 Wilmot Ave Unit 1
Bridgeport, CT 06607-1107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922580737
Jacqueline Renee Scott, LADC, MATS, CCJP's National Provider Identifier is 1922580737, issued on Aug 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 29, 2018.