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Individual

PATRICK ROSS SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2003
(860) 646-1222
(860) 647-6819
Mailing address
94 NORTH ST, MANCHESTER, CT 06042-2023
(860) 643-8019

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000732
CT
101YM0800X
Mental Health Counselor
Primary
9530
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SCOPA
MEDITECH
CT
Enumeration date
04/14/2006
Last updated
03/23/2026
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