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Individual

SCOTT RICHARD DRIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMT

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
133767
IA
101YP2500X
Professional Counselor
Primary
LPC-22969
AZ
225700000X
Massage Therapist
LMT-25730
AZ

Other

Enumeration date
11/03/2023
Last updated
07/29/2025
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