Individual provider · Type 1 NPI

Jeffrey Lloyd Stout Jr.

Peer Specialist · Wasilla, AK

NPI number 1639033608 Active

Practice location

1419 S Kittiwake St
Wasilla, AK 99623-9302

Mailing address

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1639033608

Jeffrey Lloyd Stout Jr.'s National Provider Identifier is 1639033608, issued on Dec 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Dec 12, 2025.