Individual provider · Type 1 NPI

Amanda Stout, LCPC

Professional Counselor · Mattoon, IL

NPI number 1477097210 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Call (217) 238-5700 Map

Fax (217) 238-5767

Other practice locations

  • 626 W Lincoln Ave, Charleston, IL 61920-2444 · (217) 238-5700

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1477097210

Amanda Stout, LCPC's National Provider Identifier is 1477097210, issued on Dec 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mattoon, IL. The record was last updated on Jul 31, 2020.