Individual provider · Type 1 NPI

Tarea Stout, LPC

Professional Counselor · Clinton, MS

NPI number 1063997955 Active

Practice location

604 Highway 80 W Ste R
Clinton, MS 39056-4108

Call (601) 664-8683 Map

Mailing address

213 Paxton Cv
Madison, MS 39110-8900

Other practice locations

  • 7570 Old Canton Rd Ste 102, Madison, MS 39110-6100 · (601) 809-5324

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X493 (MS)

Professional Counselor: Definition to come...

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About NPI 1063997955

Tarea Stout, LPC's National Provider Identifier is 1063997955, issued on Sep 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clinton, MS. The record was last updated on Jun 13, 2023.