Provider Demographics
NPI:1912297664
Name:SCRIPTURE, GEORGE BRONSON III (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:BRONSON
Last Name:SCRIPTURE
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 REDCLIFF DR STE 120
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0159
Mailing Address - Country:US
Mailing Address - Phone:530-227-5351
Mailing Address - Fax:
Practice Address - Street 1:448 REDCLIFF DR STE 120
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0159
Practice Address - Country:US
Practice Address - Phone:530-227-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS268421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical