Provider Demographics
NPI:1275279432
Name:SCOTT, ARTHUR CLAYTON JR (RADT-1)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:CLAYTON
Last Name:SCOTT
Suffix:JR
Gender:M
Credentials:RADT-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3503
Mailing Address - Country:US
Mailing Address - Phone:209-748-5035
Mailing Address - Fax:209-748-5861
Practice Address - Street 1:500 22ND ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3503
Practice Address - Country:US
Practice Address - Phone:209-748-5035
Practice Address - Fax:209-748-5861
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1471790622101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)