Tarea Stout, LPC
NPI #1063997955 in Clinton, Mississippi
Provider Information
- NPI Number
- 1063997955
- Entity Type
- Individual
- Name
- Tarea Stout, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 26, 2018
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 604 HIGHWAY 80 W STE R
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4108
- Phone
- (601) 664-8683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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