Individual
MR. JEFFREY P SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, CFC, CSW
Contact information
Practice address
4957 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 873-1960
(414) 873-4990
Mailing address
4957 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 873-1960
(414) 873-4990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3074-125
WI
104100000X
Social Worker
5950-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43743200
—
WI
Enumeration date
11/17/2008
Last updated
11/17/2008
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