Individual
CHAD EVERETT SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
102 WEST AVE, FAIRPORT, NY 14450-2124
(585) 230-8960
Mailing address
102 WEST AVE, FAIRPORT, NY 14450-2124
(585) 230-8960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005818-1
LICENSED MENTAL HEALTH COUNSELOR
NY
Enumeration date
04/20/2011
Last updated
11/09/2013
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