Most Relevant Information
Provider Data
| NPI Number: | 1003652553 |
| Provider Name: | SCOTT ROUPE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2024 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
12781 JOSEPHINE ST
GARDEN GROVE
CA
928414622
Practice Location Phone/Fax
| Phone: | 6572510503 |
| Fax: |
Provider Mailing Location
PO BOX 263
RUNNING SPRINGS
CA
923820263
Provider Mailing Phone/Fax
| Phone: | 9097440067 |
| Fax: |