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Shawn C Scott

Peer Specialist in Oakland, CA. Individual provider (NPI-1).

NPI number1316631740
StatusActive
Last updated in NPPESJun 7, 2023

Details

NPI
1316631740
Entity type
Individual (NPI-1)
Name
Mr. Shawn C Scott
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2023
Certification date
Jun 7, 2023
Last updated
Jun 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

390 40th St
Oakland, CA 94609-2633

Phone 510-613-0330

Mailing address

390 40th St
Oakland, CA 94609-2633

Phone 510-613-0330

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