| NPI | 1669516266 |
|---|---|
| Other Name | BOBBY SCOTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS AD04-038S) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS TO158) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |