person
Tarea Stout, LPC
Professional Counselor in Clinton, Mississippi
NPI 1063997955

Tarea Stout is a Professional Counselor based in Madison, MS and is specialized in Professional. Tarea Stout practices in Clinton, MS and has the professional credentials of LPC. The NPI Number for Tarea Stout is 1063997955 and holds a License No. 493 (Mississippi).

The current practice location address for Tarea Stout is 604 Highway 80 W Ste R, Clinton, MS and can be reached out via phone at 601-664-8683. You can also correspond with Tarea Stout through the mailing address at 213 PAXTON CV, MADISON, MS - 39110-8900 (mailing address contact number: 601-664-8683).

Location: 604 Highway 80 W Ste R, Clinton, MS, 39110-8900
person
Provider Profile Details
NPI Number
1063997955
Provider Name
Tarea Stout
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
604 Highway 80 W Ste R, Clinton, MS, 39110-8900
Phone Number
601-664-8683
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
604 Highway 80 W Ste R
City
State
Zip
39056-4108
Phone Number
601-664-8683
Fax Number
person
Provider Business Mailing Address Details
Address
604 Highway 80 W Ste R
City
State
Zip
39056-4108
Phone Number
601-664-8683
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
493 (Mississippi)
Definition
Definition to come...
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