Individual
JESSICA L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LSW, LADC
Contact information
Practice address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 444-5155
(218) 333-3921
Mailing address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 444-5155
(218) 333-3921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302235
MN
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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