Individual
SCOTT LOUIS SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, LISAC
Contact information
Practice address
925 N STAPLEY DR, #A, MESA, AZ 85203-5637
(480) 461-0795
(480) 964-2323
Mailing address
925 N STAPLEY DRIVE, #A, MESA, AZ 85203-5637
(480) 461-0795
(480) 964-2323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC1224
AZ
101YM0800X
Mental Health Counselor
Primary
LISAC1224
AZ
Other
Enumeration date
08/01/2005
Last updated
09/11/2025
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