Amanda Stout, LCPC
NPI #1477097210 in Mattoon, Illinois
Provider Information
- NPI Number
- 1477097210
- Entity Type
- Individual
- Name
- Amanda Stout, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Dec 13, 2016
- Last Updated
- Jul 31, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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