Provider Demographics
NPI:1619194222
Name:SCOTT, CHRISTINE ANN (MS, LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:
Other - Last Name:AIJIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:29854 VIOLET HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-1932
Mailing Address - Country:US
Mailing Address - Phone:818-515-0931
Mailing Address - Fax:323-515-2698
Practice Address - Street 1:29854 VIOLET HILLS DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-1932
Practice Address - Country:US
Practice Address - Phone:818-515-0931
Practice Address - Fax:323-515-2698
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50861106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist