person
Amanda Stout, LCPC
Professional Counselor in Mattoon, Illinois
NPI 1477097210

Amanda Stout is a Professional Counselor based in Mattoon, IL and is specialized in Professional. Amanda Stout practices in Mattoon, IL and has the professional credentials of LCPC. The NPI Number for Amanda Stout is 1477097210 and holds a License No. (Illinois).

The current practice location address for Amanda Stout is 750 Broadway Ave E, Mattoon, IL and can be reached out via phone at 217-238-5700 and via fax at 217-238-5767. You can also correspond with Amanda Stout through the mailing address at 750 BROADWAY AVE E, MATTOON, IL - 61938-4610 (mailing address contact number: 217-238-5700).

Location: 750 Broadway Ave E, Mattoon, IL, 61938-4610
person
Provider Profile Details
NPI Number
1477097210
Provider Name
Amanda Stout
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
750 Broadway Ave E, Mattoon, IL, 61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
person
Provider Business Mailing Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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