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Individual
MR. EDMUND JACKSON SCOTT JR.
Active
Individual
MR. EDMUND JACKSON SCOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT-I, CAC-P
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
106H00000X
Marriage & Family Therapist
6255
SC
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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