person
Mrs. Bethany S Stout, LADC
Addiction (Substance Use Disorder) Counselor in Waynoka, Oklahoma
NPI 1801019146

Bethany S Stout is an Addiction (Substance Use Disorder) Counselor based in Alva, OK and is specialized in Addiction (Substance Use Disorder). Bethany S Stout practices in Waynoka, OK and has the professional credentials of LADC. The NPI Number for Bethany S Stout is 1801019146 and holds a License No. 764 (Oklahoma).

The current practice location address for Bethany S Stout is 1095 Nickerson St, Waynoka, OK and can be reached out via phone at 580-824-0674.

Location: 1095 Nickerson St, Waynoka, OK, 73717-2711
person
Provider Profile Details
NPI Number
1801019146
Provider Name
Bethany S Stout
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1095 Nickerson St, Waynoka, OK, 73717-2711
Phone Number
580-824-0674
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1095 Nickerson St
City
State
Zip
73860-1252
Phone Number
580-824-0674
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Nickerson St
City
State
Zip
73860-1252
Phone Number
580-824-0674
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
764 (Oklahoma)
Definition
Definition to come...
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