Individual
ANGELINA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
1100 SPORTFISHER DR, OCEANSIDE, CA 92054-2550
(760) 439-6702
Mailing address
1100 SPORTFISHER DR, OCEANSIDE, CA 92054-2550
(760) 439-6702
(760) 439-6702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023146826
(NON-MEDICARE)
CA
Enumeration date
09/21/2022
Last updated
09/21/2022
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