Individual
CHRISTIAN ADAM SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
118 SPRING ST, JEFFERSON ACADEMIC CENTER, PORT JEFFERSON, NY 11777-1817
(631) 476-0564
Mailing address
118 SPRING ST, JEFFERSON ACADEMIC CENTER, PORT JEFFERSON, NY 11777-1817
(631) 476-0564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
071557
NY
1041S0200X
School Social Worker
Primary
071557
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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