Individual
MR. CRAIG DANA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.S.W.
Contact information
Practice address
2626 E 46TH ST STE J, INDIANAPOLIS, IN 46205-2373
(317) 475-9066
Mailing address
301 N DREXEL AVE, INDIANAPOLIS, IN 46201-3739
(317) 797-4138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
33005314A
IN
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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