Scott, Jean Dianne

Scott, Jean Dianne is an individual health care provider with primary practice located at 1129 Horseshoe Road Albemarle Counseling Group, Elizabeth City NC 27909-8507. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Scott, Jean Dianne can be contacted via phone (252) 335-2018.

Contact Information

Primary practice address
1129 Horseshoe Road Albemarle Counseling Group Elizabeth City NC 27909-8507
Phone: (252) 335-2018
Fax: (252) 335-9521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000414 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 060005 North Carolina

Profile Details

NPI number 1124006937
LBN Legal business name Scott, Jean Dianne
Credentials LCSW, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Nov 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124006937 NPPES
North Carolina MEDICAID 6002188

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