Individual
JENNIFER DIANE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CRC, LPC
Contact information
Practice address
1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8780
(208) 209-0288
Mailing address
2574 W PALAIS DR, COEUR D ALENE, ID 83815-9349
(208) 661-6967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5114
ID
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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