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

Mr. Scott L Self, LICDC, SAP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730520917

Mr. Scott L Self, LICDC, SAP is an Addiction (Substance Use Disorder) Counselor in Wooster, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013

Practice location Address checks out

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone: (330) 264-9597
Fax: (330) 264-0946
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 ICDC943853-CS (OH)

Record details

NPI number1730520917
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC , SAP
Sole proprietorNo
NPI enumeratedJuly 16, 2013
Last updated in NPPESJuly 16, 2013

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