Healthcare Provider Details

I. General information

NPI: 1740420587
Provider Name (Legal Business Name): MR. SCOTT ALDEN MORRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 TEHAMA ST STE B
REDDING CA
96001-1681
US

IV. Provider business mailing address

1640 TEHAMA ST STE B
REDDING CA
96001-1681
US

V. Phone/Fax

Practice location:
  • Phone: 530-243-7307
  • Fax: 530-243-1292
Mailing address:
  • Phone: 530-243-7307
  • Fax: 530-243-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA-7657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: