Individual
MICHELLE R SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3159 W FRANKLIN BLVD, CHICAGO, IL 60612-1039
(773) 531-1799
Mailing address
3159 W FRANKLIN BLVD, CHICAGO, IL 60612-1039
(773) 531-1799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-45216
IL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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