Active NPIIndividual provider

Kristen Stout, LADC

Counselor, Addiction (Substance Use Disorder) in Kittery, Maine

NPI Number1083917272
Practice location
453 US Route 1, Kittery, ME 03904-5513
Fax
207-439-4360
Last updated
November 26, 2012

Kristen Stout is a Counselor, Addiction (Substance Use Disorder) based in Kittery, ME. Kristen Stout practices in Kittery, ME and has the professional credentials of LADC. The NPI Number for Kristen Stout is 1083917272 and holds a License No. LC4164 (ME). The current practice location address for Kristen Stout is 453 US Route 1, Kittery, ME 03904-5513 and can be reached out via phone at 207-451-1750 and via fax at 207-439-4360.

Provider Profile Details

NPI Number
1083917272
Provider Name
Kristen Stout
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
453 US Route 1, Kittery, ME 03904-5513
Phone Number
207-451-1750
Fax Number
207-439-4360
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2010
Last Update Date
November 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
453 US Route 1
Kittery, ME 03904-5513
State
Maine
Zip
03904-5513
Phone Number
207-451-1750
Fax Number
207-439-4360
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
78 Atlantic Pl
South Portland, ME 04106-2316
City
South Portland
State
ME
Zip
04106-2316
Phone Number
207-842-7701
Fax Number
207-842-7773

License Information

License Number (1)
LC4164
License State (1)
ME
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
0826
License State (2)
NH

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Stout, LADC?

The NPI number of Kristen Stout, LADC is 1083917272. It was assigned on December 10, 2010 and is currently active in the NPPES registry.

What is the specialty of Kristen Stout, LADC?

Kristen Stout, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC4164.

Where does Kristen Stout, LADC practice?

The practice location is 453 US Route 1, Kittery, ME 03904-5513. The office can be reached at 207-451-1750 (phone) or 207-439-4360 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083917272 directly on the NPPES registry website.

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