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NPI Code Detail

MEDICARE: MR. SCOTT MARTIN LAFORCE MFTI

MEDICARE: MR. SCOTT MARTIN LAFORCE MFTI
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1326253733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT MARTIN LAFORCE MFTI
Provider Business Mailing Address
First Line : 14355 SW ALLEN BLVD SUITE 150
Second Line :
City : BEAVERTON
State : OR
Zip : 97005
Country : US
Telephone Number : 415-517-0006
Fax Number :
Provider Business Practice Location Address
First Line : 556 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1105
Country : US
Telephone Number : 585-442-8422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 11/18/2022

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