Individual
MR. ADAM EDWARD SCATTERGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60258116
WA
101YM0800X
Mental Health Counselor
RC00044315
WA
Other
Enumeration date
01/14/2009
Last updated
06/20/2023
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