Individual
RAYMOND SELWYN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4429
(912) 243-9310
(912) 243-9311
Mailing address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4429
(912) 243-9310
(912) 243-9311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0853
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853
GEORGIA ADDICTIONS COUNSELOR ASSOCIATION
GA
Enumeration date
11/25/2018
Last updated
11/25/2018
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