Healthcare Provider Details

I. General information

NPI: 1235033937
Provider Name (Legal Business Name): CHRISTINA BETH SCOTT MS, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 AVENUE M W
FORT DODGE IA
50501-5789
US

IV. Provider business mailing address

2818 290TH ST
JEWELL IA
50130-7613
US

V. Phone/Fax

Practice location:
  • Phone: 515-576-7261
  • Fax:
Mailing address:
  • Phone: 515-576-7261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: