Individual
SCOTT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCAP, NCAC II
Contact information
Practice address
4570 SAINT JOHNS AVE, JACKSONVILLE, FL 32210-1848
(904) 625-8069
(866) 575-3780
Mailing address
4570 SAINT JOHNS AVE, JACKSONVILLE, FL 32210-1848
(904) 625-8069
(866) 575-3780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-011851-2015
FL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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