Brandon Christopher Scarboro, LCSW, CMAC
Social Worker, Clinical in Grovetown, GA. Individual provider (NPI-1).
NPI number1124716865
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1124716865
- Entity type
- Individual (NPI-1)
- Name
- Brandon Christopher Scarboro
- Credential
- LCSW, CMAC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2023
- Certification date
- Apr 30, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW008274 | GA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0211 | GA |
Practice location
2117 Sylvan Lake DrGrovetown, GA 30813-5851
Phone 706-466-9474
Mailing address
2117 Sylvan Lake DrGrovetown, GA 30813-5851
Phone 706-466-9474
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