MRS. Bethany S Stout, LADC

NPI #1801019146 in Waynoka, Oklahoma

Provider Information

NPI Number: 1801019146
Entity Type: Individual
Name: MRS. Bethany S Stout, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Apr 11, 2007
Last Updated: Jul 12, 2010

Practice Location

Address: 1095 NICKERSON ST
City: Waynoka
State: Oklahoma
ZIP Code: 73860-1252
Phone: (580) 824-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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