Individual provider · Type 1 NPI
Mercy S. Stout, CMHC
Mental Health Counselor · Glendale, UT
NPI number
1316138340
Active
Practice location
1150 Lydia's Canyon Rd
Glendale, UT 84729
Mailing address
PO Box 235
Glendale, UT 84729-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 71184256004 (UT) |
Mental Health Counselor: Definition to come...
About NPI 1316138340
Mercy S. Stout, CMHC's National Provider Identifier is 1316138340, issued on Aug 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, UT. The record was last updated on Oct 23, 2019.