Individual
MR. ANDREW L SCOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Contact information
Practice address
95-652 HANILE ST, D107, MILILANI, HI 96789-4629
(808) 277-6130
Mailing address
95-652 HANILE ST, D107, MILILANI, HI 96789-4629
(808) 277-6130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC 1283-06
HI
101YM0800X
Mental Health Counselor
Primary
LCSW 3640
HI
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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