Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Fitzgearld Scott, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356128292

Kevin Fitzgearld Scott, SUDRC is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

12021 Wilmington Ave Ste 101
Los Angeles, CA 90059-3019
Phone: (424) 454-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15999 (CA)

Record details

NPI number1356128292
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Other providers in Los Angeles