Provider Demographics
NPI:1326400128
Name:HENRYWESTWOOD, SCOTT JAMES (LAADC, NCAC-II, SAP)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JAMES
Last Name:HENRYWESTWOOD
Suffix:
Gender:M
Credentials:LAADC, NCAC-II, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 PARK AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2913
Mailing Address - Country:US
Mailing Address - Phone:888-427-8689
Mailing Address - Fax:888-427-8689
Practice Address - Street 1:1190 PARK AVE UNIT B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2913
Practice Address - Country:US
Practice Address - Phone:888-427-8689
Practice Address - Fax:888-427-8689
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCI04531115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional