Provider Demographics
NPI:1477050102
Name:VAN NOTE, SCOTT (LMHC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:VAN NOTE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 ACEQUIA MADRE
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2802
Mailing Address - Country:US
Mailing Address - Phone:301-704-9878
Mailing Address - Fax:
Practice Address - Street 1:446 ACEQUIA MADRE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2802
Practice Address - Country:US
Practice Address - Phone:301-704-9878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-CTL0194791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health