Individual provider · Type 1 NPI
Lucille Alyse Stout
Counselor · Jasper, GA
NPI number
1174474803
Active
Practice location
95 Connell St
Jasper, GA 30143-1767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Jasper
About NPI 1174474803
Lucille Alyse Stout's National Provider Identifier is 1174474803, issued on Feb 9, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jasper, GA. The record was last updated on Feb 9, 2026.