person
Larry A Stout, MSW
Mental Health Counselor in Marion, Illinois
NPI 1124282769

Larry A Stout is a Mental Health Counselor based in Marion, IL and is specialized in Mental Health. Larry A Stout practices in Marion, IL and has the professional credentials of MSW. The NPI Number for Larry A Stout is 1124282769 and holds a License No. 149004386 (Illinois).

The current practice location address for Larry A Stout is 2400 W Main St, Marion, IL and can be reached out via phone at 618-997-5311.

Location: 2400 W Main St, Marion, IL, 62959-8274
person
Provider Profile Details
NPI Number
1124282769
Provider Name
Larry A Stout
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
2400 W Main St, Marion, IL, 62959-8274
Phone Number
618-997-5311
Fax Number
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2400 W Main St
City
State
Zip
62959-1171
Phone Number
618-997-5311
Fax Number
person
Provider Business Mailing Address Details
Address
2400 W Main St
City
State
Zip
62959-1171
Phone Number
618-997-5311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149004386 (Illinois)
Definition
Definition to come...
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