person
David Wayne Stout JR., RADT
Addiction (Substance Use Disorder) Counselor in Visalia, California
NPI 1093442865

David Wayne Stout JR. is an Addiction (Substance Use Disorder) Counselor based in Visalia, CA and is specialized in Addiction (Substance Use Disorder). David Wayne Stout JR. practices in Visalia, CA and has the professional credentials of RADT. The NPI Number for David Wayne Stout JR. is 1093442865 and holds a License No. R1385150420 (California).

The current practice location address for David Wayne Stout JR. is 120 W School Ave, Visalia, CA and can be reached out via phone at 559-625-4100 and via fax at 559-625-1970.

Location: 120 W School Ave, Visalia, CA, 93291-4925
person
Provider Profile Details
NPI Number
1093442865
Provider Name
David Wayne Stout JR.
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
120 W School Ave, Visalia, CA, 93291-4925
Phone Number
559-625-4100
Fax Number
559-625-1970
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 W School Ave
City
State
Zip
93291-4925
Phone Number
559-625-4100
Fax Number
559-625-1970
person
Provider Business Mailing Address Details
Address
120 W School Ave
City
State
Zip
93291-4925
Phone Number
559-625-4100
Fax Number
559-625-1970
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1385150420 (California)
Definition
Definition to come...
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