Individual provider · Type 1 NPI
Jaclyn Rose Stout
Counselor · Oxnard, CA
NPI number
1720359060
Active
Practice location
1326 Juanita Ave
Oxnard, CA 93030-0422
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.
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About NPI 1720359060
Jaclyn Rose Stout's National Provider Identifier is 1720359060, issued on Jan 18, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oxnard, CA. The record was last updated on Jan 18, 2012.