Individual provider · Type 1 NPI

David Wayne Stout Jr., RADT

Addiction (Substance Use Disorder) Counselor · Visalia, CA

NPI number 1093442865 Active

Practice location

120 W School Ave
Visalia, CA 93291-4925

Call (559) 625-4100 Map

Fax (559) 625-1970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1385150420 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093442865

David Wayne Stout Jr., RADT's National Provider Identifier is 1093442865, issued on Aug 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Visalia, CA. The record was last updated on Aug 2, 2022.