Individual
MRS. JESSICA NICOLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, PC
Contact information
Practice address
119 CHADWYCK CIR, BONAIRE, GA 31005-3168
(478) 918-3494
Mailing address
119 CHADWYCK CIR, BONAIRE, GA 31005-3168
(478) 918-3494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
101YM0800X
Mental Health Counselor
—
GA
101YP2500X
Professional Counselor
—
GA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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