Provider Demographics
NPI:1720437379
Name:SCOTT, JO LEE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:LEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2158 SE ASTER CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-8312
Mailing Address - Country:US
Mailing Address - Phone:971-269-6050
Mailing Address - Fax:503-461-6645
Practice Address - Street 1:2158 SE ASTER CT
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8312
Practice Address - Country:US
Practice Address - Phone:971-269-6050
Practice Address - Fax:503-461-6645
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional