Provider Demographics
NPI:1649548975
Name:DRURY, CAROL SCOTT (PHD, NCC, CR-R)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:SCOTT
Last Name:DRURY
Suffix:
Gender:F
Credentials:PHD, NCC, CR-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22405 BLUEBIRD CT
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2604
Mailing Address - Country:US
Mailing Address - Phone:301-475-5969
Mailing Address - Fax:301-475-0463
Practice Address - Street 1:22405 BLUEBIRD CT
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2604
Practice Address - Country:US
Practice Address - Phone:301-475-5969
Practice Address - Fax:301-475-0463
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD61167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional