Individual
SCOTT CRAIG NICLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD,, ABHC, ADM
Contact information
Practice address
3600 E 20TH AVE, ANCHORAGE, AK 99508-3416
(907) 743-8733
Mailing address
3600 E 20TH AVE, ANCHORAGE, AK 99508-3416
(907) 743-8733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
07/08/2019
Last updated
04/26/2024
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