Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 2020001220 | MO |
Y | 101YM0800X | Mental Health Counselor | 2010001220 | MO |
N | 101YP2500X | Professional Counselor | 2020001220 | MO |
N | 101YS0200X | School Counselor | 507085 | MO |
NPI | 1104454016 |
---|---|
Provider Name | Karmen Kay Scott |
First Address | Carrollton, MO 64633-8151 |
Second Address | Carrollton, MO 64633-8151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2020 |
Last Update Date | 28/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2020001220 | MISSOURI DEPARTMENT OF DIVISION OF PROFESSIONAL REGISTRATION (01) | MO |