person
Adelia Diane Stout
Mental Health Counselor in San Mateo, California
NPI 1518474634

Adelia Diane Stout is a Mental Health Counselor based in San Mateo, CA and is specialized in Mental Health. Adelia Diane Stout practices in San Mateo, CA. The NPI Number for Adelia Diane Stout is 1518474634 and holds a License No. (California).

The current practice location address for Adelia Diane Stout is 3701 Hacienda St, San Mateo, CA and can be reached out via phone at 650-388-8565.

Location: 3701 Hacienda St, San Mateo, CA, 94403-1736
person
Provider Profile Details
NPI Number
1518474634
Provider Name
Adelia Diane Stout
Credential
Provider Entity Type
Individual
Gender
Female
Address
3701 Hacienda St, San Mateo, CA, 94403-1736
Phone Number
650-388-8565
Fax Number
Provider Enumeration Date
01/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3701 Hacienda St
City
State
Zip
94403-4366
Phone Number
650-388-8565
Fax Number
person
Provider Business Mailing Address Details
Address
3701 Hacienda St
City
State
Zip
94403-4366
Phone Number
650-388-8565
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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