Individual provider · Type 1 NPI

Brock Stout

Mental Health Counselor · Carthage, IL

NPI number 1932962313 Active

Practice location

1454 N County Road 2050 E
Carthage, IL 62321-3551

Mailing address

1830 Parley St
Nauvoo, IL 62354-1352

Other practice locations

  • 1830 Parley St, Nauvoo, IL 62354-1352 · (312) 965-2686

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X122471 (IA)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1932962313

Brock Stout's National Provider Identifier is 1932962313, issued on Jan 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carthage, IL. The record was last updated on Aug 10, 2024.