Individual
KENNETH MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
224 2ND AVE SE, DECATUR, AL 35601-2344
(256) 341-0811
(256) 341-9358
Mailing address
224 2ND AVE SE, DECATUR, AL 35601-2344
(256) 341-0811
(256) 341-9358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1985
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529274
BCBS OF AL
AL
01
—
51541688
FEDERAL BCBS
AL
01
—
558326
VALUE OPTIONS
AL
Enumeration date
10/05/2007
Last updated
10/05/2007
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