MS. Vicka Malone Stout, LMFT
NPI #1902684897 in Bishop, California
Provider Information
- NPI Number
- 1902684897
- Entity Type
- Individual
- Name
- MS. Vicka Malone Stout, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Sep 20, 2023
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 2918 INDIAN CREEK DR
- City
- Bishop
- State
- California
- ZIP Code
- 93514-2912
- Phone
- (760) 920-2072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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