Individual
DARYEL LORENZO SCOTT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5227 ROSETRACE TER, POWDER SPRINGS, GA 30127-8439
(678) 524-4993
Mailing address
4061 KITSUNE WAY, COCOA, FL 32927-2936
(678) 524-4993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH25785
FL
Other
Enumeration date
09/02/2014
Last updated
08/12/2024
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