Individual
RANDALL A. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1996 CLIFF VALLEY WAY NE, SUITE 106, ATLANTA, GA 30329-2449
(404) 633-2334
Mailing address
2921 PIEDMONT RD NE, SUITE C, ATLANTA, GA 30305-2785
(404) 633-2334
(404) 760-1136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 1620
GA
106H00000X
Marriage & Family Therapist
Primary
LMFT 829
GA
Other
Enumeration date
04/10/2009
Last updated
12/10/2012
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