Provider Demographics
NPI:1235804600
Name:DURKIN, SCOTT J (LCPC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:J
Last Name:DURKIN
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W HUFFAKER LN STE 105
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2098
Mailing Address - Country:US
Mailing Address - Phone:775-300-6118
Mailing Address - Fax:
Practice Address - Street 1:150 W HUFFAKER LN STE 105
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2098
Practice Address - Country:US
Practice Address - Phone:775-300-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health