Individual
MS. ETHENIA ALICEE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-EM
Contact information
Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(838) 333-3989
Mailing address
1328 PEACHTREE ST NE, ATLANTA, GA 30309-3209
(838) 333-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
102X00000X
Poetry Therapist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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