Individual
MR. JEFFERY L SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1332 E HARRISON AVE, SALT LAKE CITY, UT 84105-2610
(801) 792-9638
Mailing address
1332 E HARRISON AVE, SALT LAKE CITY, UT 84105-2610
(801) 792-9638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8943100-3501
UT
Other
Enumeration date
01/13/2014
Last updated
11/29/2016
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