Individual provider · Type 1 NPI

Bethany S. Stout, LADC

Addiction (Substance Use Disorder) Counselor · Waynoka, OK

NPI number 1801019146 Active

Practice location

1095 Nickerson St
Waynoka, OK 73860-1252

Call (580) 824-0674 Map

Mailing address

409 Oklahoma Blvd
Alva, OK 73717-2711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X764 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801019146

Bethany S. Stout, LADC's National Provider Identifier is 1801019146, issued on Apr 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waynoka, OK. The record was last updated on Jul 12, 2010.