Individual
MR. RODNEY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T, REC. COACH
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(347) 510-3644
Mailing address
21 TRUXTON STREET, APT. 2F, BROOKLYN, NY 11233
(646) 673-7210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002740141
—
NY
Enumeration date
03/09/2015
Last updated
03/09/2015
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