Individual
JACLYN MARIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1359 MCCAULEY ST, CROZET, VA 22932-2725
(910) 200-9515
Mailing address
1359 MCCAULEY ST, CROZET, VA 22932-2725
(910) 200-9515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701007042
VA
101Y00000X
Counselor
8405
NC
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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