Individual
DIANE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
984 BERGEN AVE, NORTH BRUNSWICK, NJ 08902-2335
(732) 993-6403
(732) 626-4544
Mailing address
6 LAKEWOOD PL, PORT MONMOUTH, NJ 07758-1009
(732) 993-6403
(732) 626-4544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44SL06795100
NJ
101YM0800X
Mental Health Counselor
44SL06795100
NJ
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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