Individual
DR. FRED RANDOLPH SCOTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 REPUBLIC LN, SUFFOLK, VA 23434-1005
(757) 269-1400
Mailing address
PO BOX 1492, SUFFOLK, VA 23439-1492
(757) 269-1400
(757) 809-3423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012670
VA
101YP2500X
Professional Counselor
0704013358
VA
Other
Enumeration date
02/24/2023
Last updated
11/08/2023
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