Provider Demographics
NPI:1831448489
Name:SCOTT, LISA OLIVIA (CATCI)
Entity type:Individual
Prefix:MISS
First Name:LISA
Middle Name:OLIVIA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CATCI
Other - Prefix:
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Mailing Address - Street 1:181 E SHASTA AVE APT 219
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0533
Mailing Address - Country:US
Mailing Address - Phone:530-354-3764
Mailing Address - Fax:530-342-1756
Practice Address - Street 1:3105 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0202
Practice Address - Country:US
Practice Address - Phone:530-342-3046
Practice Address - Fax:530-342-1756
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)