Individual provider · Type 1 NPI

Kativa Stout

Professional Counselor · Greenville, SC

NPI number 1760110928 Active

Practice location

1046 Old Buncombe Rd
Greenville, SC 29617-6250

Call (843) 338-2934 Map

Mailing address

4 Blossom Dr
Greenville, SC 29605-4907

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X7509
Professional Counselor Primary 101YP2500X7509 (SC)

Professional Counselor: Definition to come...

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About NPI 1760110928

Kativa Stout's National Provider Identifier is 1760110928, issued on Aug 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, SC. The record was last updated on Aug 15, 2022.