Provider Demographics
NPI:1083264501
Name:SCOTT, DAZHONI ELIZABETH (LPC, CRC)
Entity Type:Individual
Prefix:MRS
First Name:DAZHONI
Middle Name:ELIZABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E. CEDAR AVENUE #26
Mailing Address - Street 2:2110 N. EAST ST APT C
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004
Mailing Address - Country:US
Mailing Address - Phone:928-890-8829
Mailing Address - Fax:928-773-1245
Practice Address - Street 1:1500 E. CEDAR AVENUE #26
Practice Address - Street 2:2110 N. EAST ST APT C
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004
Practice Address - Country:US
Practice Address - Phone:928-773-1245
Practice Address - Fax:928-773-1245
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional