Individual
JACQUELINE RENEE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, MATS, CCJP,
Contact information
Practice address
566 WILMOT AVE UNIT 1, BRIDGEPORT, CT 06607-1107
(203) 540-9524
Mailing address
566 WILMOT AVE UNIT 1, BRIDGEPORT, CT 06607-1107
(203) 540-9524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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