Individual
SCOTT CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, CAADC
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 327-4914
Mailing address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 327-4914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6866
PA
104100000X
Social Worker
Primary
SW126604
PA
Other
Enumeration date
01/22/2019
Last updated
01/29/2019
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