Individual provider · Type 1 NPI

Larry A. Stout, MSW

Mental Health Counselor · Marion, IL

NPI number 1124282769 Active

Practice location

2400 W Main St
Marion, IL 62959-1171

Call (618) 997-5311 Map

Mailing address

11531 Sunderland Rd
Marion, IL 62959-8274

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149004386 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1124282769

Larry A. Stout, MSW's National Provider Identifier is 1124282769, issued on Jul 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marion, IL. The record was last updated on Jul 14, 2008.