Individual
KAREN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
2198 WALLUM LAKE RD, PASCOAG, RI 02859-1813
(401) 568-5284
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00420
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
1902055809
UBH
RI
05
—
KS72798
—
RI
Enumeration date
09/16/2008
Last updated
03/31/2009
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