Provider Demographics
NPI:1720486913
Name:SCOTT, CASSETTA CHRISTINA (MS, NCC, LPC-A)
Entity Type:Individual
Prefix:MRS
First Name:CASSETTA
Middle Name:CHRISTINA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, NCC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1717
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-1717
Mailing Address - Country:US
Mailing Address - Phone:919-593-1108
Mailing Address - Fax:919-307-3423
Practice Address - Street 1:157 SUTTON SPRINGS DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6785
Practice Address - Country:US
Practice Address - Phone:919-593-1108
Practice Address - Fax:919-307-3423
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10894101YM0800X
NC329947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health