Individual
MRS. JILL CAROL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 813-2535
(541) 813-2536
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
12/20/2010
Last updated
12/16/2021
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