Individual
SCOTT CHARLES DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1872
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00112100
NJ
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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