Provider Demographics
NPI:1407192982
Name:SCOTT, CHELSEA (LPC, CADC II)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 COMMERCIAL ST NE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3485
Mailing Address - Country:US
Mailing Address - Phone:503-931-6611
Mailing Address - Fax:503-585-2155
Practice Address - Street 1:117 COMMERCIAL ST NE
Practice Address - Street 2:SUITE 255
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3485
Practice Address - Country:US
Practice Address - Phone:503-931-6611
Practice Address - Fax:503-585-2155
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11-09-86101YA0400X
ORC1837101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)