Individual
MR. SCOTT MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703-4862
(479) 935-2300
Mailing address
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703-4862
(479) 935-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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