Individual
MR. SCOTT BOYCE FOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
5353 WAYZATA BLVD STE 200, ST LOUIS PARK, MN 55416-1338
(952) 222-8383
(952) 400-5874
Mailing address
2112 BROADWAY ST NE, STE 225 #279, MINNEAPOLIS, MN 55413-3081
(561) 240-5964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306716
MN
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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