Provider Demographics
NPI:1265464085
Name:JAMES, SCOTT ALLEN (MFT)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALLEN
Last Name:JAMES
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N HARBOR BLVD
Mailing Address - Street 2:620
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4126
Mailing Address - Country:US
Mailing Address - Phone:714-396-2119
Mailing Address - Fax:714-773-1565
Practice Address - Street 1:1400 N. HARBOR BLVD.
Practice Address - Street 2:620
Practice Address - City:FULLERTOTN
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-396-2119
Practice Address - Fax:714-773-1565
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT21527101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health