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NPI Code Detail

MEDICARE: DAVID LEE SCOTT MA, LMAC, LPCC

MEDICARE: DAVID LEE SCOTT MA, LMAC, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor671-10-1-10-210ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033364013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEE SCOTT MA, LMAC, LPCC
Provider Business Mailing Address
First Line : 2555 BECKS RD
Second Line :
City : DULUTH
State : MN
Zip : 55810-2168
Country : US
Telephone Number : 701-740-0718
Fax Number :
Provider Business Practice Location Address
First Line : 332 W SUPERIOR ST STE 300
Second Line :
City : DULUTH
State : MN
Zip : 55802-1844
Country : US
Telephone Number : 218-722-4379
Fax Number : 218-722-4333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 09/11/2025

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