Individual
MITZI VANNETTE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
7601 S KOSTNER AVE STE 500, CHICAGO, IL 60652-1100
(773) 224-7386
(773) 224-7685
Mailing address
7601 S KOSTNER AVE STE 500, CHICAGO, IL 60652-1100
(773) 224-7386
(773) 224-7685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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