Provider Demographics
NPI:1902191802
Name:SCOTT, CHIARA M (MA,LPC-S)
Entity Type:Individual
Prefix:
First Name:CHIARA
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA,LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 CASTROVILLE RD STE 134
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-3148
Mailing Address - Country:US
Mailing Address - Phone:210-436-2339
Mailing Address - Fax:210-436-2329
Practice Address - Street 1:803 CASTROVILLE RD STE 134
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-3148
Practice Address - Country:US
Practice Address - Phone:210-436-2339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional