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Individual

MS. CHERYL ANDREA SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4421 PADRE COURT, FORT WORTH, TX 76244-5821
(682) 459-3094
(817) 423-7384
Mailing address
4421 PADRE COURT, FORT WORTH, TX 76244-5821
(682) 459-3094
(817) 423-7384

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80319
TX
101YP2500X
Professional Counselor
PRC 12
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12433222
CAQH
05
3962599
TX
Enumeration date
06/18/2010
Last updated
07/22/2019
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