Provider Demographics
NPI:1457407439
Name:SCOTT, JO F (LMFT)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:F
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7080 N MARKS AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0288
Mailing Address - Country:US
Mailing Address - Phone:559-446-3013
Mailing Address - Fax:559-248-8555
Practice Address - Street 1:938 N VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3428
Practice Address - Country:US
Practice Address - Phone:559-970-4127
Practice Address - Fax:559-443-1962
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33713106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist