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Individual

MR. EDMUND JACKSON SCOTT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT-I, CAC-P

Contact information

Practice address
187 W BROAD ST STE 200, SPARTANBURG, SC 29306-3234
(864) 707-2801
Mailing address
2 RUNNING DEER CT, GREER, SC 29650-3212

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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