Individual
CHARLES SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 792-4145
Mailing address
6339 LAUREL ST, ANCHORAGE, AK 99507-4705
(907) 306-3090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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