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

Mr. Jack Scott, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235799792

Mr. Jack Scott, RADT is an Addiction (Substance Use Disorder) Counselor in Fremont, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

37437 Glenmoor Dr
Fremont, CA 94536-5731
Phone: (510) 713-3200
Fax: (510) 713-0684
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 R1327711118 (CA)

Record details

NPI number1235799792
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 17, 2019
Mailing address4510 Peralta Blvd Ste 1, Fremont, CA 94536-5755

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