Individual
JAUTAVIA J SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 762-1237
Mailing address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
179093
OH
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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