Individual
MRS. JACKIE L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, LCPC-S
Contact information
Practice address
201 N PENN AVE STE 405, INDEPENDENCE, KS 67301-3354
(620) 688-6595
(888) 975-3464
Mailing address
201 N PENN AVE STE 405, INDEPENDENCE, KS 67301-3354
(620) 688-6595
(888) 975-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2934
KS
101YM0800X
Mental Health Counselor
5538
OK
Other
Enumeration date
12/08/2011
Last updated
04/11/2021
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