Individual
LANA JO SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W MAIN ST, RIPON, CA 95366-2406
(209) 599-4225
Mailing address
4000 FARA BIUNDO DR APT 8, MODESTO, CA 95355-9562
(209) 484-0513
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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