Individual
RANDY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 447-4765
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6741
CO
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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