Individual
ALEXIS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Mailing address
212 MONTROSE PL, SAINT PAUL, MN 55104-5625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302879
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
302879
MN
Other
Enumeration date
11/09/2015
Last updated
11/08/2016
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